MR. Matthew David Shade, MED., ATC
NPI #1346383536 in Yardley, Pennsylvania
Provider Information
- NPI Number
- 1346383536
- Entity Type
- Individual
- Name
- MR. Matthew David Shade, MED., ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MED., ATC
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 365 N FIELDSTONE CT
- City
- Yardley
- State
- Pennsylvania
- ZIP Code
- 19067-5709
- Phone
- (215) 595-7132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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