| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MATTHEW KYLE MCGOWAN | 1598218935 | 2024-09-06 |
Matthew Kyle Mcgowan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598218935. Registration indicates Matthew Kyle Mcgowan is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, ) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist) (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Dr. Matthew Kyle Mcgowan DPT, ATC |
| Practice Office Address | 10058 GULF CENTER DR STE 100 FORT MYERS, FL US |
| Practice Office Telephone | 8334934325 |
| Mailing Address | 9918 GULF COAST MAIN ST STE 100 FORT MYERS, FL 339139023 US |
| Business Telephone | 8334934325 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2800 SW 35th Pl Apt 312 | Gainesville, FL 326082718 | 5183077387 |
| Code | Practice | License No State |
|---|---|---|
| 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | AL 4587
FL |
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT42057
FL |
| AL 4587 | OTHER | FL | DEPARTMENT OF H |
| PT42057 | OTHER | FL | DEPARTMENT OF H |