Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Lee Wall, MSAT, ATC, LAT

Individual provider Athletic Trainer · NPI 1811723810

Matthew Lee Wall, MSAT, ATC, LAT is an Athletic Trainer in Emory, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2024
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

30461 Garnand Dr
Emory, VA 24327
Phone: (276) 944-6835
Fax: (276) 944-6738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126004153 (VA)

Record details

NPI number1811723810
Entity typeIndividual (Type 1)
GenderMale
Credentials MSAT , ATC , LAT
Sole proprietorYes
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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