Matthew Tyler Bertrand
Physical Therapy Assistant
4610 N Garfield St Suite B-5
Midland
, Texas 79705-2663
Matthew Tyler Bertrand
Physical Therapy Assistant
4610 N Garfield St Suite B-5
Midland
, Texas 79705-2663
(432) 683-8476
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Matthew Tyler Bertrand
- 4610 N Garfield St Suite B-5
- Midland, TX
- Zip : 79705-2663
- Fax : (432) 683-8476
- Phone : (432) 570-8782
Second Address
- Matthew Tyler Bertrand
- 4610 N Garfield St Suite B-5
- Midland, TX
- Zip : 79705-2663
- Fax : (432) 683-8476
- Phone : (432) 570-8782
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2063642 | TX |
National Provider Identifier
| NPI | 1003050832 |
|---|---|
| Provider Name | Matthew Tyler Bertrand |
| First Address | Midland, TX 79705-2663 |
| Second Address | Midland, TX 79705-2663 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/04/2009 |
| Last Update Date | 23/04/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.