Provider Demographics
NPI:1336802024
Name:DENNING, MATTHEW (PT, DPT, CSCS, CPT)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:DENNING
Suffix:
Gender:M
Credentials:PT, DPT, CSCS, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 BOYLSTON ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-2848
Mailing Address - Country:US
Mailing Address - Phone:857-449-7525
Mailing Address - Fax:
Practice Address - Street 1:699 BOYLSTON ST FL 1
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-2848
Practice Address - Country:US
Practice Address - Phone:857-449-7525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist