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Individual

MATTHEW CHARLES PIECHOSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, CES

Contact information

Practice address
1500 S UNIVERSITY PARKS DR, WACO, TX 76706-1731
(254) 710-7235
Mailing address
3015 MITCHELL AVE, WACO, TX 76708-2662
(254) 644-0048

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6016
TX

Other

Enumeration date
06/25/2008
Last updated
05/09/2018
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