Individual
MATTHEW JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, LAT
Contact information
Practice address
51 EDWARD RD, TOWNSEND, MA 01469-1107
(978) 732-3293
Mailing address
51 EDWARD RD, TOWNSEND, MA 01469-1107
(978) 732-3293
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2701
MA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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