Individual
MATTHEW JAMES BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PES, SMTC, MDNC
Contact information
Practice address
186 JOEY DR, COLCHESTER, VT 05446-3915
(303) 909-9489
Mailing address
186 JOEY DR, COLCHESTER, VT 05446-3915
(303) 909-9489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0106915
VT
Other
Enumeration date
10/28/2011
Last updated
06/07/2022
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