Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Shaffer, LATATC

Individual provider Athletic Trainer · NPI 1043607187

Matthew Shaffer, LATATC is an Athletic Trainer in Polk, Pennsylvania. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2015

Practice location Address checks out

293 Raymilton Rd
Polk, PA 16342-2927
Phone: (814) 758-1764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126002306 (VA)

Record details

NPI number1043607187
Entity typeIndividual (Type 1)
GenderMale
Credentials LATATC
Sole proprietorYes
NPI enumeratedApril 15, 2015
Last updated in NPPESApril 15, 2015
Mailing address293 Raymilton Rd, Polk, PA 16342-2927

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