Individual
PROF. MATTHEW MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, LAT, ATC, CHSE
Contact information
Practice address
263 ALDEN ST, SPRINGFIELD, MA 01109-3788
(508) 314-2635
Mailing address
263 ALDEN ST, SPRINGFIELD, MA 01109-3788
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1393
CT
2255A2300X
Athletic Trainer
Primary
2212
MA
Other
Enumeration date
06/11/2011
Last updated
06/10/2024
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