Provider Demographics
NPI:1093269086
Name:STYF, MATTHEW (PT)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:STYF
Suffix:
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 1:670 LINWOOD AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-2068
Mailing Address - Country:US
Mailing Address - Phone:508-234-7544
Mailing Address - Fax:
Practice Address - Street 1:670 LINWOOD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588-2068
Practice Address - Country:US
Practice Address - Phone:508-234-7544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-08
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22425225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist