Individual
AIMEE MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CAJUNDOME BLVD, LAFAYETTE, LA 70506-4271
(337) 482-6279
Mailing address
225 CAJUNDOME BLVD, LAFAYETTE, LA 70506-4271
(337) 482-6279
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
070702800
—
Other
Enumeration date
03/20/2014
Last updated
08/21/2019
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