MR. Matthew John Blimline, ATC
NPI #1629013438 in Leesport, Pennsylvania
Provider Information
- NPI Number
- 1629013438
- Entity Type
- Individual
- Name
- MR. Matthew John Blimline, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 929 LAKESHORE DR
- City
- Leesport
- State
- Pennsylvania
- ZIP Code
- 19533-8631
- Phone
- (610) 916-5463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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