Individual
MATTHEW GASPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
806 JACKSON ST, COLUMBUS, IN 47201-6264
(812) 748-3412
Mailing address
806 JACKSON ST, COLUMBUS, IN 47201-6264
(812) 748-3412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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