IndividualActive
Kevin Matthews, LO
NPI 1093887440 · Orthotist · Live Oak, TX
Provider details
- NPI number
- 1093887440
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LO
- Sex
- Male
- Sole proprietor
- No
- License
- 558 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12315 Judson Rd
#206
Live Oak, TX 78233-3277
Phone: (210) 657-8100
Fax: (210) 657-8105
Approximate (ZIP-level) locationGet directions
Mailing address
12315 Judson Rd
Live Oak, TX 78233-3277
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2007-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.