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Dr. Matthew Kenneth Hamilton, Th.D., CFT, SSN,

Recreational Therapist Assistant in Sheridan, WY. Individual provider (NPI-1).

NPI number1982142279
StatusActive
Last updated in NPPESFeb 7, 2017

Details

NPI
1982142279
Entity type
Individual (NPI-1)
Name
Dr. Matthew Kenneth Hamilton
Credential
Th.D., CFT, SSN,
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 7, 2017
Last updated
Feb 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
226000000X Recreational Therapist Assistant––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

1898 Fort Rd
Bldg 2 Wellness Center
Sheridan, WY 82801-8320

Phone 307-675-3781

Mailing address

1511 Mydland Rd Lot 171
Sheridan, WY 82801-2138

Phone 307-752-9077

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