| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLEN MATSUNO | 1124509542 | 2024-04-06 |
Kellen Matsuno is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1124509542. Registration indicates Kellen Matsuno is a provider of services with a specialization in 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 | Kellen Matsuno DPT |
| Practice Office Address | 766 SAINT CLAIR ST COSTA MESA, CA US |
| Practice Office Telephone | 2069999153 |
| Mailing Address | 4139 E 11TH ST LONG BEACH, CA 908044255 US |
| Code | Practice | License No State |
|---|---|---|
| 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 |