Individual
MR. MATTHEW C ROWLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
13198 PRAIRIE LICK RD, BOONVILLE, MO 65233-3321
(660) 882-0224
Mailing address
13198 PRAIRIE LICK RD, BOONVILLE, MO 65233-3321
(660) 882-0224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2002010065
MO
Other
Enumeration date
12/03/2011
Last updated
12/03/2011
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