NPI 1215462197

Matthew Gaston, ATCMPH

Practitioner Athletic Trainer Washington, DC

Practice location

Address: 2640 4th St NE, Washington, DC 20002-1206
Phone: (860) 989-1648

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in District of Columbia →

Registry record

NPI: 1215462197
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Apr 2017
Record last updated: 13 Jan 2018

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.