Individual
MATTHEW LUCHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
6000 W OLIVE AVE, GLENDALE, AZ 85302-3006
(623) 845-3897
Mailing address
6000 W OLIVE AVE, GLENDALE, AZ 85302-3090
(623) 845-3897
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000935
AZ
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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