Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT0000007122 | TN |
N | 2251X0800X | Physical Therapist - Orthopedic | PT 24279 | FL |
NPI | 1023192804 |
---|---|
Provider Name | Mr. Matthew John Coats |
First Address | Bartlett, TN 38134-3838 |
Second Address | Arlington, TN 38002-4894 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 20/11/2020 |