Individual
MATTHEW SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
293 RAYMILTON RD, POLK, PA 16342-2927
(814) 758-1764
Mailing address
293 RAYMILTON RD, POLK, PA 16342-2927
(814) 758-1764
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002306
VA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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