Individual
MATTHEW CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
16954 PRADO LOOP, LOXLEY, AL 36551-8692
(251) 212-0588
Mailing address
16954 PRADO LOOP, LOXLEY, AL 36551-8692
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
924
AL
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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