Provider Demographics
NPI:1154206258
Name:WATKINS-GREENHOLT, MATTHEW DENVER
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:DENVER
Last Name:WATKINS-GREENHOLT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 COLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-8243
Mailing Address - Country:US
Mailing Address - Phone:717-440-0105
Mailing Address - Fax:
Practice Address - Street 1:31 W HANOVER ST STE 4
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:PA
Practice Address - Zip Code:17362-1148
Practice Address - Country:US
Practice Address - Phone:717-225-6671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist