MR. Matthew Weisenberger, ATC
NPI #1366645558 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1366645558
- Entity Type
- Individual
- Name
- MR. Matthew Weisenberger, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4381 S EASON BLVD
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-6583
- Phone
- (662) 377-7215
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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