Most Relevant Information
Provider Data
| NPI Number: | 1003295858 |
| Provider Name: | MATTHEW T. ELY PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT.015368 |
Most Important Dates
| Enumeration Date: | 05/27/2015 |
| Last Updated: | 11/13/2015 |
Provider Practice Location
2546 CENTER RD
HINCKLEY
OH
442339561
Practice Location Phone/Fax
| Phone: | 3305580100 |
| Fax: | 3305580110 |
Provider Mailing Location
2546 CENTER RD
HINCKLEY
OH
442339561
Provider Mailing Phone/Fax
| Phone: | 3305580100 |
| Fax: | 3305580110 |