Individual
MR. MATTHEW PHILIP SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1 COLLEGE AND MAIN, CAPITAL ATHLETIC TRAINING, BEXLEY, OH 43209-7812
(614) 236-6622
(614) 236-6624
Mailing address
1 COLLEGE AND MAIN, CAPITAL ATHLETIC TRAINING, BEXLEY, OH 43209-7812
(614) 236-6622
(614) 236-6624
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1133
SC
2255A2300X
Athletic Trainer
Primary
4500
OH
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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