Individual
CODY V MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 OLD COLLINSVILLE RD, SWANSEA, IL 62226-2410
(618) 236-1538
Mailing address
3020 OLD COLLINSVILLE RD, SWANSEA, IL 62226-2410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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