Individual provider · Type 1 NPI

Matthew S. Mandeville, PT, ATC

Specialist · Huntsville, AL

NPI number 1992748321 Active

Practice location

927 Franklin St SE
Huntsville, AL 35801-4306

Call (256) 428-3000 Map

Fax (256) 428-3003

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPTH3087 (AL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1992748321

Matthew S. Mandeville, PT, ATC's National Provider Identifier is 1992748321, issued on Jun 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Huntsville, AL. The record was last updated on Feb 16, 2011.