Individual
MATHEW MATANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2200 FOREST RIDGE PKWY STE 110, NEW CASTLE, IN 47362-2943
(765) 521-1131
(765) 599-3127
Mailing address
198 W NORTHMARKET ST, HAGERSTOWN, IN 47346-1221
(765) 542-0431
(765) 599-3127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000288A
IN
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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