Individual
TIM MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 EASY ST, GODDARD, KS 67052-9211
(316) 794-8635
Mailing address
3135 NW BROAD ST, MURFREESBORO, TN 37129
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402046
KS
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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