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Matthew Herod, PTA
NPI 1093175465 · on the registry since 2016
Practice
- Address
- 1711 Martha Berry Blvd Nw
Rome, GA 30165 - Phone
- (706) 528-4207
- Fax
- (706) 528-4211
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia