Individual
MATTHEW ROBERT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1900 S UNIVERSITY PARKS DR, WACO, TX 76706-1654
(603) 785-0220
Mailing address
36 GLEN RD, BEDFORD, NH 03110-6012
(603) 785-0220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/23/2008
Last updated
02/02/2009
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