Derek Logan Mattingly
Athletic Trainer · Riverview, FL
NPI number
1245883677
Practice location
6221 Watermark Dr Apt 106Riverview, FL 33578-3975
- Phone
- (859) 457-9190
NPI record
- NPI
- 1245883677
- Entity type
- Individual (Type 1)
- Enumeration date
- July 24, 2019
- Last updated
- July 24, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Derek Mattingly
Derek Logan Mattingly is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 6221 Watermark Dr Apt 106, Riverview, FL 33578-3975. The NPI number 1245883677 was assigned on July 24, 2019 and the record was last updated on July 24, 2019.
Frequently asked questions
What is the NPI number of Derek Logan Mattingly?
The NPI number is 1245883677.
What is the phone number of Derek Mattingly?
The phone number listed for the practice location is (859) 457-9190.
Where is Derek Mattingly located?
6221 Watermark Dr Apt 106, Riverview, FL 33578-3975.
What is the taxonomy code for Derek Mattingly?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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