Individual
MR. MATHEW JON LYDEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2000 CHURCH ST, BOX 18, NASHVILLE, TN 37236-0001
(615) 284-4808
(615) 284-4811
Mailing address
7301 SUTTON PL, FAIRVIEW, TN 37062-9353
(615) 799-7822
(615) 284-4811
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000472
TN
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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