Marcella Matanis, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Las Cruces, NM. Individual provider (NPI-1).
NPI number1043907124
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1043907124
- Entity type
- Individual (NPI-1)
- Name
- Marcella Matanis
- Credential
- MS, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2023
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1815 Wells StLas Cruces, NM 88003-1304
Phone 505-315-0894
Mailing address
1815 Wells StLas Cruces, NM 88003-1304
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All 55 Athletic Trainer providers in Las Cruces · All 6,914 providers in Las Cruces
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