NPI 1134592520

Matthew Allen Elliott, PTA

Practitioner Physical Therapy Assistant Maryville, TN

Practice location

Address: 1904 W Broadway Ave, Maryville, TN 37801-5402
Phone: (865) 983-8129
Fax: (865) 983-8293
Mailing address: 8823 Production Ln, Ooltewah, TN 37363-6511

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 6157 (TN)

Other Physical Therapy Assistant providers in Tennessee →

Registry record

NPI: 1134592520
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2015
Record last updated: 6 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.