Individual
MATTHEW MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3905 MARIGOLD DR, AMES, IA 50014-2918
(712) 363-5115
Mailing address
3905 MARIGOLD DR, AMES, IA 50014-2918
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000983
IA
390200000X
Student in an Organized Health Care Education/Training Program
000983
IA
Other
Enumeration date
10/17/2012
Last updated
02/13/2013
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