Individual
KEITH ANDREW MUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
699 WINSTED RD, TORRINGTON, CT 06790-2934
(860) 626-1114
Mailing address
699 WINSTED RD, TORRINGTON, CT 06790-2934
(860) 626-1114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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