MATTHEW WEISENBERGER

TUPELO, MS
NPI1366645558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT 0143)
Enumeration Date2007-06-06
Last Update Date2007-07-08
Business Address
Mr. MATTHEW WEISENBERGER ATC
4381 S EASON BLVD
TUPELO, MS 38801-6583
Phone number: 662-377-7215
Mailing Address
Mr. MATTHEW WEISENBERGER ATC
124 COUNTY ROAD 131
TUPELO, MS 38804
Phone number:
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