Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW LEE WALL, MSAT, ATC, LAT
Active Sole ProprietorMATTHEW LEE WALL, MSAT, ATC, LAT is a Athletic Trainer healthcare provider located in EMORY, Virginia. NPI 1811723810 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · EMORY, VA
Registration Details
- NPI Number
- 1811723810
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2024 (1.9032003639502 yrs)
- Last Updated
- Sep 9, 2024
- License
-
0126004153 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30461 GARNAND DREMORY, VA, 24327Browse VA providers · Browse ZIP 24327
- Phone
- 2769446835
- Fax
- 2769446738
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in EMORY, VA
| Name | Credential | NPI |
|---|---|---|
| MS. BETH ALISON FUNKHOUSER | MED, ATC, CSCS | 1780637074 |
| DENNIS COBLER | ED.D, ATC | 1578972865 |
| MELISSA DAVIS | LAT, ATC | 1811358385 |
| CHAYPIN BUCHANAN | LATC | 1992245781 |
| HANNAH CLEMENTSON | LATC | 1831639517 |
| CATHERINE M MARTIN | — | 1649752965 |
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.