Individual
MR. MATTHEW THOMAS SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1100 W MAIN ST, STROUDSBURG HIGH SCHOOL, STROUDSBURG, PA 18360-1332
(570) 421-1991
(570) 424-0789
Mailing address
4324 ELIAS CT, OREFIELD, PA 18069-9621
(610) 398-1849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002504A
PA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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