Matthew Jackson, M.S., ATC, LAT Valid NPI

Individual provider · Athletic Trainer · Townsend, MA

NPI

1306237201

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

2701 (MA)

Sex

Male

Sole proprietor

Yes

Enumerated

2015-02-12

Last updated

2015-02-12