National Provider Identifier
Terry Kevin Mattice, PTA
Terry Kevin Mattice, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Ithaca, NY and a listed phone number of (607) 266-5316.
Profile Overview
- NPI
- 1790902880
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- April 19, 2007
- Last Updated
- July 08, 2007
Practice Location
- 2230 N Triphammer RD
- Ithaca, NY 14850-6513
Phone: (607) 266-5316
Mailing Address
- 136 Pine Tree RD
- Ithaca, NY 14850-6332
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1790902880
- Entity Type
- Individual
- Last Name
- Mattice
- First Name
- Terry
- Middle Name
- Kevin
- Credential
- PTA
- Mailing Street Address
- 136 Pine Tree RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-6332
- Mailing Country
- US
- Mailing Phone
- (607) 272-9789
- Practice Street Address
- 2230 N Triphammer RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-6513
- Practice Country
- US
- Practice Phone
- (607) 266-5316
- Practice Fax
- (607) 266-5353
- Enumeration Date
- April 19, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)