Provider Demographics
NPI:1649650169
Name:STECHT, MATTHEW STECHT RONALD
Entity type:Individual
Prefix:
First Name:MATTHEW STECHT
Middle Name:RONALD
Last Name:STECHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 BRIGHTLEAF BLVD
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-3822
Mailing Address - Country:US
Mailing Address - Phone:859-835-8395
Mailing Address - Fax:
Practice Address - Street 1:1334 BRIGHTLEAF BLVD
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-3822
Practice Address - Country:US
Practice Address - Phone:859-835-8395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer