Provider Demographics
NPI:1700187416
Name:POE, MATTHEW LYNN SR (MS)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:LYNN
Last Name:POE
Suffix:SR
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Mailing Address - Street 1:6544 JOCELYN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-3948
Mailing Address - Country:US
Mailing Address - Phone:615-668-8760
Mailing Address - Fax:
Practice Address - Street 1:104 WOODMONT BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2245
Practice Address - Country:US
Practice Address - Phone:615-668-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation