Individual
KLARE MATTHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
32 CAMPUS DR, MISSOULA, MT 59812-0003
(406) 243-6362
Mailing address
32 CAMPUS DR, MISSOULA, MT 59812-0003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-LAT-LIC-1074
MT
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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