Individual
KATE MATAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
857 PROMENADE WALK, FORT MILL, SC 29708-6992
(803) 547-1133
(803) 547-1213
Mailing address
1429 BRYANT ST STE A, CHARLOTTE, NC 28208-5201
(704) 919-0867
(704) 817-8579
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000041662
NC
2255A2300X
Athletic Trainer
Primary
—
NC
Other
Enumeration date
03/01/2024
Last updated
06/11/2026
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