Individual
JUSTIN MARK MATLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
2601 JESS NEELY DR, NASHVILLE, TN 37212-2039
(615) 584-5227
Mailing address
2601 JESS NEELY DR, NASHVILLE, TN 37212-2039
(615) 584-5227
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1597
TN
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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