Provider Demographics
NPI:1467287086
Name:KESSLER, MATHEW (DC)
Entity type:Individual
Prefix:
First Name:MATHEW
Middle Name:
Last Name:KESSLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 SALZEDO ST APT 817
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1747
Mailing Address - Country:US
Mailing Address - Phone:561-699-1691
Mailing Address - Fax:
Practice Address - Street 1:404 WASHINGTON AVE STE 120
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-6651
Practice Address - Country:US
Practice Address - Phone:305-479-2973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor