IndividualActive
Matthew Bass, PT, DPT
NPI 1194334862 · Orthopedic Physical Therapist · Cannon Afb, NM
Provider details
- NPI number
- 1194334862
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 17033 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
27th Special Operations Medical Group
224 W D. L. Ingram Avenue, Bldg. 1408
Cannon Afb, NM 88103
Phone: (720) 592-5310
Approximate (ZIP-level) locationGet directions
Mailing address
402 E Liberty Dr
Wheaton, IL 60187-5511
Registry dates
- Enumerated
- 2020-07-28
- Last updated
- 2024-06-10
- Certified
- 2024-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.