Individual
MATT TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1505 W GRANDE BLVD APT 212, TYLER, TX 75703-5694
(618) 751-0432
Mailing address
1505 GRAND AVE, JOHNSTON CITY, IL 62951-1979
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT7551
TX
Other
Enumeration date
03/16/2017
Last updated
06/09/2022
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