| Matthew T Basa Iv, PT | |
|
101 Potters Ln, Clarksville, IN 47129-1017 | |
| (812) 948-0808 | |
| Not Available |
| Full Name | Matthew T Basa Iv |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 101 Potters Ln, Clarksville, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710184056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-004721 (Kentucky) | Primary |
| 225100000X | Physical Therapist | 05008415A (Indiana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew T Basa Iv, PT 101 Potters Ln, Clarksville, IN 47129-1017 Ph: () - | Matthew T Basa Iv, PT 101 Potters Ln, Clarksville, IN 47129-1017 Ph: (812) 948-0808 |
Audrey Elizabeth Sweetland, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Applegate Ln, Clarksville, IN 47129 Phone: 502-633-1007 | |
Mr. Jose Noel Bucayu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 517 N Hallmark Dr, Clarksville, IN 47129 Phone: 812-282-8406 Fax: 812-285-6183 | |
Assocaites In Pediatric Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1329 Applegate Ln, Clarksville, IN 47129 Phone: 502-633-1007 Fax: 502-437-0624 | |
Mrs. Denise A Benavidez, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1615 Blacklston View Drive, Suite B, Clarksville, IN 47129 Phone: 812-288-8817 Fax: 812-288-8837 | |
Karen Lynette Culler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 517 N Hallmark Dr, Clarksville, IN 47129 Phone: 812-282-4506 | |
Gabrielle Lynn Pulliam, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 E Lewis And Clark Pkwy, Clarksville, IN 47129 Phone: 812-283-3231 Fax: 812-283-3271 | |
Janice Lynn Brightwell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Potters Ln, Clarksville, IN 47129 Phone: 812-948-0080 |