NPI 1932515434

Matthew Dillard, MSATCLAT

Practitioner Athletic Trainer Hixson, TN

Practice location

Address: 2125 Northpoint Blvd, Hixson, TN 37343-4072
Phone: (423) 875-3376
Fax: (423) 875-3451
Mailing address: 790 Remington Blvd, Bolingbrook, IL 60440-4909

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 0000001294 (TN)

Other Specialist/Technologist providers in Tennessee →

Registry record

NPI: 1932515434
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2014
Record last updated: 3 Jun 2015

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.