Individual
JASON RICHARD MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, PTA
Contact information
Practice address
180 E BROAD ST, COLUMBUS, OH 43215-3707
(614) 949-9166
Mailing address
6001 HILLTOP TRAIL DR, NEW ALBANY, OH 43054-8688
(614) 453-5557
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07828
OH
2255A2300X
Athletic Trainer
002820
OH
Other
Enumeration date
02/08/2006
Last updated
10/22/2010
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