NPI 1003245986

Matthew Nelson

Practitioner Athletic Trainer Roanoke, VA

Practice location

Address: 1818 Belleville Rd SW, Roanoke, VA 24015-2708
Phone: (276) 233-5301

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126002081 (VA)

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Registry record

NPI: 1003245986
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Nov 2013
Record last updated: 1 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.