Individual
SHAWN MATSUNAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,CSHE
Contact information
Practice address
6557 SUNGATE AVE., BARTLETT, TN 38135-3105
(901) 377-1435
Mailing address
6557 SUNGATE DR S, BARTLETT, TN 38135-3105
(901) 377-1435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT631
TN
Other
Enumeration date
05/17/2007
Last updated
10/14/2016
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