NPI 1144928656 · live from the CMS NPI Registry
Mattie Bernadette Andre, DPT
Physical Therapist in Henderson, NV. National Provider Identifier 1144928656, active.
NPI record
| NPI | 1144928656 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1962 Thunder Ridge Cir, Henderson, NV 89012 |
| Practice phone | 206-356-8304 |
| Enumerated | February 23, 2023 |
| Last updated | February 23, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 4766 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.