Individual
MR. MATTHEW C. DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CMT
Contact information
Practice address
37650 PROFESSIONAL CENTER DR, SUITE 105A, LIVONIA, MI 48154-1197
(734) 953-1745
(734) 953-1743
Mailing address
37650 PROFESSIONAL CENTER DR, SUITE 105A, LIVONIA, MI 48154-1197
(734) 953-1745
(734) 953-1743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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