Provider Demographics
NPI:1942019112
Name:ALDRIDGE, MATTHEW AUSTIN (DC)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:AUSTIN
Last Name:ALDRIDGE
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 1:2885 RIPPLING SPRINGS ST
Mailing Address - Street 2:
Mailing Address - City:LAUGHLIN
Mailing Address - State:NV
Mailing Address - Zip Code:89029-1254
Mailing Address - Country:US
Mailing Address - Phone:480-600-2946
Mailing Address - Fax:
Practice Address - Street 1:1527 W CRAIG RD STE 8
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0228
Practice Address - Country:US
Practice Address - Phone:702-688-8540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB02074111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor