Individual
MATTHEW S DELISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1609 9TH ST APT A, WENATCHEE, WA 98801-6843
(402) 613-9392
Mailing address
1609 9TH ST APT A, WENATCHEE, WA 98801-6843
(402) 613-9392
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160885436
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NE
Other
Enumeration date
12/06/2017
Last updated
03/19/2021
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