Individual
MR. DENNIS TUCKER MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C., L
Contact information
Practice address
1567 MAIN ST, CHIPLEY, FL 32428-6948
(850) 638-3387
(850) 415-1967
Mailing address
1567 MAIN ST, CHIPLEY, FL 32428-6948
(850) 638-3387
(850) 415-1967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
09/27/2021
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