Individual
MR. LOUIS JOHN MATRISCIANO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
922 N CAPITOL AVE STE D, INDIANAPOLIS, IN 46204-1005
(765) 506-3652
Mailing address
398 W 47TH ST, INDIANAPOLIS, IN 46208-3463
(260) 615-1218
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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