Provider Demographics
NPI:1245224690
Name:HESS, ROBERT MATTHEW (MS,ATC,STS)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:MATTHEW
Last Name:HESS
Suffix:
Gender:M
Credentials:MS,ATC,STS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6538 RIVER RUN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-6065
Mailing Address - Country:US
Mailing Address - Phone:410-531-9453
Mailing Address - Fax:
Practice Address - Street 1:6538 RIVER RUN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-6065
Practice Address - Country:US
Practice Address - Phone:410-531-9453
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer