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Matthew Bruce Mcclellan, CPO
Prosthetist in Tyler, Texas
NPI 1073134177

Matthew Bruce Mcclellan is a Prosthetist based in Tyler, TX. Matthew Bruce Mcclellan practices in Tyler, TX and has the professional credentials of CPO. The NPI Number for Matthew Bruce Mcclellan is 1073134177 and holds a License No. 2047 (Texas).

The current practice location address for Matthew Bruce Mcclellan is 1122 E Front St, Tyler, TX and can be reached out via phone at 903-592-6574 and via fax at 903-595-3862.

Location: 1122 E Front St, Tyler, TX, 75702-8414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073134177
Provider Name
Matthew Bruce Mcclellan
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
1122 E Front St, Tyler, TX, 75702-8414
Phone Number
903-592-6574
Fax Number
903-595-3862
Provider Enumeration Date
04/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1122 E Front St
City
Tyler
State
Texas
Zip
75702-8414
Phone Number
903-592-6574
Fax Number
903-595-3862
person
Provider Business Mailing Address Details
Address
1122 E Front St
City
Tyler
State
Texas
Zip
75702-8414
Phone Number
903-592-6574
Fax Number
903-595-3862
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
2047 (Texas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
2047 (Texas)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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