Provider Demographics
NPI:1245520360
Name:MATTHEWS, STEVEN G (MS, RMT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:MS, RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10059 SILVER MAPLE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:HGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-5421
Mailing Address - Country:US
Mailing Address - Phone:303-877-9229
Mailing Address - Fax:303-346-8637
Practice Address - Street 1:1500 W. LITTLETON BLVD.
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2192
Practice Address - Country:US
Practice Address - Phone:303-877-9229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1343225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist