Most Relevant Information
Provider Data
| NPI Number: | 1003575952 |
| Provider Name: | MATTHEW JOSEPH MAZZEO DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 18054 |
Most Important Dates
| Enumeration Date: | 12/08/2021 |
| Last Updated: | 04/21/2023 |
Provider Practice Location
7622 MCLAUGHLIN RD
PEYTON
CO
808314710
Practice Location Phone/Fax
| Phone: | 7194953133 |
| Fax: | 7194714415 |
Provider Mailing Location
4497 GOLD MEDAL PT
COLORADO SPRINGS
CO
809237347
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |