Matthew Cahoon, MS, LAT, ATC
Individual provider Active NPI Athletic Trainer · Jefferson City, TN
NPI 1780006981 · NPPES record last updated Jan 8, 2014
Key facts
- NPI
- 1780006981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0000001626 (TN)
- Practice address
- 2130 Branner Ave
Jefferson City, TN 37760-2210 - Phone
- (865) 471-3515
- Fax
- (865) 471-4443
- NPI assigned
- Jan 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000001626 | TN | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0000001626 | TN | Yes |
Addresses
Primary practice location
2130 Branner Ave
Jefferson City, TN 37760-2210
Mailing address
2130 Branner Ave
Jefferson City, TN 37760-2210
Phone (865) 471-3515
Other providers in Jefferson City, TN
- Lisa Carol Bryant
- Carly Budiac
- Angela Brooke Burkhalter
- Leann M Byrd
- Hannah Corinne Cade
- Katherine Medley Cameron
- Kristen Lynn Cameron
- Melissa A Cameron
- Rachel Cameron
- Brwyan Campbell
All providers in Jefferson City, TN · Athletic Trainer in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.