Provider Demographics
NPI:1972920551
Name:ANDREWS, MATTHEW CRAIG (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:CRAIG
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 373
Mailing Address - Street 2:
Mailing Address - City:EAGLES MERE
Mailing Address - State:PA
Mailing Address - Zip Code:17731
Mailing Address - Country:US
Mailing Address - Phone:570-525-3945
Mailing Address - Fax:570-525-3954
Practice Address - Street 1:14029 RT. 42
Practice Address - Street 2:
Practice Address - City:MUNCY VALLEY
Practice Address - State:PA
Practice Address - Zip Code:17758
Practice Address - Country:US
Practice Address - Phone:570-525-3945
Practice Address - Fax:570-525-3954
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-21
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT07995L225100000X
PA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist