MR. Matthew Steven Root, AT, ATC

NPI #1417169137 in Louisville, Ohio

Provider Information

NPI Number
1417169137
Entity Type
Individual
Name
MR. Matthew Steven Root, AT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
AT, ATC
Enumeration Date
May 4, 2007
Last Updated
Apr 29, 2014

Practice Location

Address
5383 BROADWAY AVE
State
Ohio
ZIP Code
44641-9381
Phone
(330) 454-1851

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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