Individual provider · Type 1 NPI

Matthew Bruce McClellan, C.P.O.

Prosthetist · Tyler, TX

NPI number 1073134177 Active

Practice location

1122 E Front St
Tyler, TX 75702-8414

Fax (903) 595-3862

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000X2047 (TX)
Prosthetist Primary 224P00000X2047 (TX)

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1073134177

Matthew Bruce McClellan, C.P.O.'s National Provider Identifier is 1073134177, issued on Apr 29, 2020. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Tyler, TX. The record was last updated on Apr 29, 2020.