Zachary Mathers ATHLETIC TRAINER

NPI 1174633689 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1174633689
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
575 N SIOUX POINT RD
DAKOTA DUNES SD, 57049-5312, US
Phone (605) 217-2667
Fax (605) 217-2915
Business Location
575 N SIOUX POINT RD
DAKOTA DUNES SD, 57049-5312, US
Phone (605) 217-2667
Fax (605) 217-2915
Toxanomy
Taxonomy Code 2255A2300X
License State Iowa
License Number 00554
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According to our database, Zachary Mathers ATHLETIC TRAINER NPI is 1174633689, taxonomy code is 2255A2300X and license number is 00554, license state is located at Iowa. Zachary Mathers ATHLETIC TRAINER physically located at 575 N Sioux Point Rd, Dakota Dunes SD, 57049-5312. NPI Number Zachary Mathers ATHLETIC TRAINER has the Individual type.

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1174633689 NPI number is provided on an as is basis without warranty of any kind. 1174633689 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Mathers ATHLETIC TRAINER are for informational purposes only.