Individual
BYRON MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10835 35TH AVE, PLEASANT PRAIRIE, WI 53158-4107
(262) 960-5761
Mailing address
10835 35TH AVE, PLEASANT PRAIRIE, WI 53158-4107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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