Individual
TIMOTHY SCOTT MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, OTC
Contact information
Practice address
1104 N BELMONT AVE APT A, LUBBOCK, TX 79416-3404
(210) 400-6618
Mailing address
8818 OLMSTEAD PARK, CONVERSE, TX 78109-3744
(210) 393-6662
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6759
TX
Other
Enumeration date
11/16/2015
Last updated
05/15/2020
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