Individual
MR. MATTHEW STEVEN ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT, ATC
Contact information
Practice address
5383 BROADWAY AVE, LOUISVILLE, OH 44641-9381
(330) 454-1851
Mailing address
5383 BROADWAY AVE, LOUISVILLE, OH 44641-9381
(330) 454-1851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-000557
OH
Other
Enumeration date
05/04/2007
Last updated
04/29/2014
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