Provider Demographics
NPI:1609429059
Name:CHAMBERS, MATTHEW CARTER (PT)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:CARTER
Last Name:CHAMBERS
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 1:2413 WARRIORS PATH
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-4249
Mailing Address - Country:US
Mailing Address - Phone:864-556-9255
Mailing Address - Fax:
Practice Address - Street 1:100 HEALTHY WAY STE 1110
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-7915
Practice Address - Country:US
Practice Address - Phone:864-512-6302
Practice Address - Fax:864-512-6305
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3044225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist