MR. Matthew Campbell, LAT, ATC, ITAT, CES
NPI #1114369626 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1114369626
- Entity Type
- Individual
- Name
- MR. Matthew Campbell, LAT, ATC, ITAT, CES
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC, ITAT, CES
- Enumeration Date
- Jul 25, 2013
- Last Updated
- Apr 1, 2024
Practice Location
- Address
- 7956 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4140
- Phone
- (260) 458-3640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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