Provider Demographics
NPI:1376828905
Name:CABBAGE, MATTHEW S (DPT)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:S
Last Name:CABBAGE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8537 ASHEVILLE HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-4124
Mailing Address - Country:US
Mailing Address - Phone:865-225-7300
Mailing Address - Fax:865-225-7301
Practice Address - Street 1:8537 ASHEVILLE HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37924-4124
Practice Address - Country:US
Practice Address - Phone:865-225-7300
Practice Address - Fax:865-225-7301
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT-8780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist