Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW JOHN BLIMLINE, ATC
ActiveMR. MATTHEW JOHN BLIMLINE, ATC is a Athletic Trainer healthcare provider located in LEESPORT, Pennsylvania. NPI 1629013438 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LEESPORT, PA
Registration Details
- NPI Number
- 1629013438
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2006 (20.139627734173 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
929 LAKESHORE DRLEESPORT, PA, 195338631Browse PA providers · Browse ZIP 19533
- Phone
- 6109165463
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.