DR. Matthew Ryan Fuller, DC, LMT

NPI #1285307090 in Liverpool, New York

Provider Information

NPI Number: 1285307090
Entity Type: Individual
Name: DR. Matthew Ryan Fuller, DC, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC, LMT
Enumeration Date: Jul 28, 2021
Last Updated: Jul 28, 2021

Practice Location

Address: 4225 LONG BRANCH RD
City: Liverpool
State: New York
ZIP Code: 13090-3201
Phone: (315) 515-0111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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