Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW RYAN NEWSOME, LAT, ATC
Active Sole ProprietorMR. MATTHEW RYAN NEWSOME, LAT, ATC is a Athletic Trainer healthcare provider located in PETERSBURG, New Jersey. NPI 1033545355 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PETERSBURG, NJ
Registration Details
- NPI Number
- 1033545355
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2013 (12.86180715703 yrs)
- Last Updated
- Sep 18, 2013
- License
-
RT005402 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 LINDSAY LANEPETERSBURG, NJ, 08270Browse NJ providers · Browse ZIP 08270
- Phone
- 6092892115
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.