NPI 1073549523

Matthew D Gerken, ATC

Practitioner Athletic Trainer Gorham, ME

Practice location

Address: 37 College Ave, Gorham, ME 04038-1032
Phone: (207) 780-5140
Fax: (207) 780-5354

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT137 (ME)

Other Specialist/Technologist providers in Maine →

Registry record

NPI: 1073549523
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jun 2006
Record last updated: 15 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.