Individual
MATTHEW DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
1435 VILLAGE DR, DEPT 2801, OGDEN, UT 84408-0001
(801) 626-7389
Mailing address
1435 VILLAGE DR, DEPT 2801, OGDEN, UT 84408-0001
(801) 626-7389
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8386521-4810
UT
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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