MATTHEW PROUTY

ESCANABA, MI
NPI1750010013
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502006055)
Enumeration Date2022-06-09
Last Update Date2022-06-09
Business Address
MATTHEW PROUTY
2525 7TH AVE S
ESCANABA, MI 49829-1131
Phone number: 906-786-0408
Mailing Address
MATTHEW PROUTY
329 S 14TH ST APT 1
ESCANABA, MI 49829-3421
Phone number: