Provider Demographics
NPI:1285146712
Name:CLAGGETT, MATTHEW STEVEN (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:STEVEN
Last Name:CLAGGETT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4550 SKY HARLAR DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-0629
Mailing Address - Country:US
Mailing Address - Phone:903-629-5087
Mailing Address - Fax:972-722-0096
Practice Address - Street 1:4210 RIDGE RD
Practice Address - Street 2:STE 102
Practice Address - City:HEATH
Practice Address - State:TX
Practice Address - Zip Code:75032-6602
Practice Address - Country:US
Practice Address - Phone:972-722-0054
Practice Address - Fax:972-722-0096
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1940111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor