Dr. Matthew Richard Pankratz, PT, DPT
Physical Therapist in Tucson, AZ. Individual provider (NPI-1).
NPI number1568761237
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1568761237
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Richard Pankratz
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2011
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | LPT-32183 | AZ | Yes |
| 225200000X | Physical Therapy Assistant | 9226A | AZ |
Practice location
3124 N Swan RdTucson, AZ 85712-1227
Phone 520-348-1742
Mailing address
8845 Solar RdFlagstaff, AZ 86004-1333
Phone 928-699-6248
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