Provider Demographics
NPI:1881223261
Name:SAUNDERS, MATTHEW C (DPT)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:C
Last Name:SAUNDERS
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 1:13938 CYPRESS WOODS DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-1217
Mailing Address - Country:US
Mailing Address - Phone:704-214-2065
Mailing Address - Fax:
Practice Address - Street 1:13938 CYPRESS WOODS DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-1217
Practice Address - Country:US
Practice Address - Phone:704-214-2065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP16869225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist