Derek Logan Mattingly
Derek Logan Mattingly is an Athletic Trainer in Riverview, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6221 Watermark Dr Apt 106Riverview, FL 33578-3975
Phone: (859) 457-9190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1245883677 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 24, 2019 |
| Last updated in NPPES | July 24, 2019 |
| Mailing address | 6221 Watermark Dr Apt 106, Riverview, FL 33578-3975 |
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