Individual
MATTHEW R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
610 W MAIN ST, WILMINGTON, OH 45177-2125
(937) 383-7722
Mailing address
1111 DEERFIELD RD UNIT 402, LEBANON, OH 45036-7113
(513) 282-2155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-000991
OH
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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