Individual
MR. HUSTON JOHNSON MATTSON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
4901 WEDDINGTON RD, MATTHEWS, NC 28104-6267
(704) 296-6319
Mailing address
5206 CHELSEY LN, MONROE, NC 28110-8618
(412) 979-9047
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2474
NC
2255A2300X
Athletic Trainer
RT004679
PA
Other
Enumeration date
04/18/2014
Last updated
09/18/2020
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