Individual
MATTHEW NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 BELLEVILLE RD SW, ROANOKE, VA 24015-2708
(276) 233-5301
Mailing address
1818 BELLEVILLE RD SW, ROANOKE, VA 24015-2708
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002081
VA
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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