Individual
MR. JASON MATTHEW MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
3847 6TH ST, NORTH BEACH, MD 20714-3036
(401) 954-4486
Mailing address
3847 6TH ST, NORTH BEACH, MD 20714-3036
(401) 954-4486
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT-293
HI
2255A2300X
Athletic Trainer
Primary
RT006149
PA
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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