NPI 1124592605

Matthew Brendan Boas

Practitioner Athletic Trainer Havertown, PA

Practice location

Address: 13 Pearson Ln, Havertown, PA 19083-3218
Phone: (610) 446-7458

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Pennsylvania →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Pennsylvania →

Registry record

NPI: 1124592605
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jan 2019
Record last updated: 17 Jan 2019

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.