Individual
MR. MATTHEW GLENN BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC, LAT
Contact information
Practice address
500 MARKAVIEW RD NW, HUNTSVILLE, AL 35805-3652
(256) 533-8477
Mailing address
85 COUNTY ROAD 1251, VINEMONT, AL 35179-6337
(334) 791-3137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2-1312
AL
2255A2300X
Athletic Trainer
1986
AL
Other
Enumeration date
10/18/2016
Last updated
01/05/2024
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