NPI 1013254960

Matthew S Williams, ATC

Practitioner Athletic Trainer Petersburg, VA

Practice location

Address: 1 Hayden Dr Athletic Department, Petersburg, VA 23806-1000
Phone: (804) 524-6798
Fax: (804) 524-8344
Mailing address: 42 Rollingwood Dr, Lawrenceville, VA 23868-2125

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0126000297 (VA)

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1013254960
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2013
Record last updated: 12 Jan 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.