Individual
MR. MATTHEW REUSS STUMPF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
42278 DEBORAH DR, HAMMOND, LA 70403-7655
(225) 572-8099
(225) 572-8099
Mailing address
42278 DEBORAH DR, HAMMOND, LA 70403-7655
(225) 572-8099
(225) 572-8099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
LA
Other
Enumeration date
06/16/2006
Last updated
07/26/2007
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