Provider Demographics
NPI:1437160470
Name:BRESSLER, MATTHEW LEE (ATC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:LEE
Last Name:BRESSLER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 CROSSLAND RD
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-6428
Mailing Address - Country:US
Mailing Address - Phone:803-222-6623
Mailing Address - Fax:
Practice Address - Street 1:1625 HIGHWAY 55 E
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-8551
Practice Address - Country:US
Practice Address - Phone:803-810-8200
Practice Address - Fax:803-222-8221
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2014-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6702255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer