NPI 1194334862

Matthew Richard Bass, PTDPT

Practitioner Orthopedic Physical Therapist Cannon Afb, NM

Practice location

Address: 27th Special Operations Medical Group 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103
Phone: (720) 592-5310
Mailing address: 402 E Liberty Dr, Wheaton, IL 60187-5511

Registered specialties (2)

Orthopedic Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X Licence 17033 (CO)

Other Physical Therapist providers in New Mexico →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 17033 (CO)

Registry record

NPI: 1194334862
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2020
Record last updated: 10 Jun 2024

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.