Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW SHAFFER, LAT ATC
Active Sole ProprietorAthletic Trainer · POLK, PA
Registration Details
- NPI Number
- 1043607187
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2015 (11.047853599547 yrs)
- Last Updated
- Apr 15, 2015
- License
-
0126002306 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
293 RAYMILTON RDPOLK, PA, 163422927Browse PA providers · Browse ZIP 16342
- Phone
- 8147581764
- 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.