Matthew Lee Debolt, PTA

Physical Therapy Assistant · Roanoke, IN

Individual Active NPI

NPI number 1730503327

Practice location

11015 Yalumba Pass
Roanoke, IN 46783-8931
Phone
(260) 402-1968

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NPI record

NPI
1730503327
Entity type
Individual (Type 1)
Enumeration date
February 18, 2014
Last updated
February 18, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 10320 CA

About Matthew Debolt

Matthew Lee Debolt, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 11015 Yalumba Pass, Roanoke, IN 46783-8931. The NPI number 1730503327 was assigned on February 18, 2014 and the record was last updated on February 18, 2014.

Matthew Debolt lists a license in the registry: #10320 (CA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Lee Debolt, PTA?

The NPI number is 1730503327.

What is the phone number of Matthew Debolt?

The phone number listed for the practice location is (260) 402-1968.

Where is Matthew Debolt located?

11015 Yalumba Pass, Roanoke, IN 46783-8931.

What is the taxonomy code for Matthew Debolt?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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