Individual
SKYLAR MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
7399 WESCOTT TER, LAKE WORTH, FL 33467-7853
(269) 680-1860
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5780
(615) 345-5400
(888) 468-6603
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/07/2011
Last updated
07/08/2022
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