Provider Demographics
NPI:1356600092
Name:MATHEWS, CHRISTOPHER CALVIN (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CALVIN
Last Name:MATHEWS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:702 GROVE ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-1481
Mailing Address - Country:US
Mailing Address - Phone:865-657-9783
Mailing Address - Fax:865-657-9998
Practice Address - Street 1:702 GROVE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-1481
Practice Address - Country:US
Practice Address - Phone:865-657-9783
Practice Address - Fax:865-657-9998
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN00000089252251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic