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Shawn Matsunaga, ATC,CSHE

Specialist/Technologist, Athletic Trainer in Bartlett, TN. Individual provider (NPI-1).

NPI number1760699771
StatusActive
Last updated in NPPESOct 14, 2016

Details

NPI
1760699771
Entity type
Individual (NPI-1)
Name
Shawn Matsunaga
Credential
ATC,CSHE
Sex
Male
Sole proprietor
Yes
Enumeration date
May 17, 2007
Last updated
Oct 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT631TNYes

Practice location

6557 Sungate Ave.
Bartlett, TN 38135-3105

Phone 901-377-1435

Mailing address

6557 Sungate Dr S
Bartlett, TN 38135-3105

Phone 901-377-1435

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