NPI | 1205237393 |
---|---|
Professional Name | ANDREA LINN MATTHES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT002630) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OK 308) |
Enumeration Date | 2014-09-09 |
Last Update Date | 2020-01-13 |