Provider Demographics
NPI:1831181908
Name:GARES-MATNEY, TONYA M (MPT CERTIFIED MDT)
Entity type:Individual
Prefix:MRS
First Name:TONYA
Middle Name:M
Last Name:GARES-MATNEY
Suffix:
Gender:F
Credentials:MPT CERTIFIED MDT
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:M
Other - Last Name:GARES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 23RD ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301
Mailing Address - Country:US
Mailing Address - Phone:661-327-4357
Mailing Address - Fax:661-327-2311
Practice Address - Street 1:2701 CALLOWAY DR
Practice Address - Street 2:SUITE 400
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2621
Practice Address - Country:US
Practice Address - Phone:661-589-9066
Practice Address - Fax:661-589-4209
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25263225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ21295ZOtherMEDICARE GROUP PTAN
CA0PT252631OtherMEDICARE PTAN
CAP00113617OtherRAILROAD MEDICARE PTAN
CA0PT252631OtherMEDICARE PTAN