Most Relevant Information
Provider Data
| NPI Number: | 1003030990 |
| Provider Name: | DIXIE LEAH MATTTHEWS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2005028334 |
Most Important Dates
| Enumeration Date: | 04/12/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2708 WALNUT ST
SAINT JOSEPH
MO
645031159
Practice Location Phone/Fax
| Phone: | 8162619442 |
| Fax: |
Provider Mailing Location
2708 WALNUT ST
SAINT JOSEPH
MO
645031159
Provider Mailing Phone/Fax
| Phone: | 8162619442 |
| Fax: |