Individual
MATTHEW CANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
980 KELLY JOHNSON DRIVE, SUITE 200, LAS VEGAS, NV 89119
(702) 732-5529
Mailing address
980 KELLY JOHNSON DR STE 200, LAS VEGAS, NV 89119-3768
(702) 732-5529
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506403
NV
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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