NPI 1457359564

Matthew Lane Brannon, PTA

Practitioner Physical Therapy Assistant Paso Robles, CA

Practice location

Address: 1414 Park St, Paso Robles, CA 93446-2160
Phone: (805) 237-0272

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT 4604 (CA)

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Registry record

NPI: 1457359564
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2005
Record last updated: 13 Jul 2026

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.