Individual
SCOTT DENNIS MATTHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, MBA
Contact information
Practice address
98-719 IHO PL # 5-1104, AIEA, HI 96701-2515
(808) 293-8911
Mailing address
98719 IHO PLACE 5-1104, AIEA, HI 96701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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