Provider Demographics
NPI:1558233833
Name:BOSSLER, MATTIE (PT, DPT)
Entity type:Individual
Prefix:
First Name:MATTIE
Middle Name:
Last Name:BOSSLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 N SUSQUEHANNA TRL APT 3303
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-1853
Mailing Address - Country:US
Mailing Address - Phone:717-803-3342
Mailing Address - Fax:
Practice Address - Street 1:488 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:PA
Practice Address - Zip Code:17362
Practice Address - Country:US
Practice Address - Phone:717-690-0107
Practice Address - Fax:717-204-5574
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT033527225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist