Individual
DR. MATT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LAT, ATC, CSCS
Contact information
Practice address
2300 VALLEY RD, HARRISBURG, PA 17104-1442
(859) 338-4479
Mailing address
2300 VALLEY RD, HARRISBURG, PA 17104-1442
(859) 338-4479
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005580
PA
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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