Provider Demographics
NPI:1023205846
Name:MATTMILLER, ARTHUR W III (PT)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:W
Last Name:MATTMILLER
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:831 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2436
Mailing Address - Country:US
Mailing Address - Phone:831-305-0110
Mailing Address - Fax:831-536-1859
Practice Address - Street 1:831 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2436
Practice Address - Country:US
Practice Address - Phone:831-305-0110
Practice Address - Fax:831-536-1859
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT64472251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic