Matthew Eric Hannon, MSAT, LAT, ATC
Specialist/Technologist, Athletic Trainer in Colleyville, TX. Individual provider (NPI-1).
NPI number1346851631
StatusActive
Last updated in NPPESSep 10, 2025
Details
- NPI
- 1346851631
- Entity type
- Individual (NPI-1)
- Name
- Matthew Eric Hannon
- Credential
- MSAT, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2020
- Certification date
- Sep 10, 2025
- Last updated
- Sep 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
901 Cheek Sparger RdColleyville, TX 76034-3864
Phone 817-281-4333
Mailing address
500 N Dove Rd Apt 912Grapevine, TX 76051-3189
Phone 919-896-0384
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