Laurelle Marie Mathis

Athletic Trainer · Saugus, CA

Individual Active NPI

NPI number 1578280525

Practice location

28200 Bouquet Canyon Rd Ste G
Saugus, CA 91350-1447
Phone
(661) 312-6139

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NPI record

NPI
1578280525
Entity type
Individual (Type 1)
Enumeration date
October 20, 2022
Last updated
October 20, 2022
Certified
October 20, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X SR0067900 CA

Mailing address

18513 Kimbrough St
Canyon Country, CA 91351-2928
Phone
(661) 312-6139

About Laurelle Mathis

Laurelle Marie Mathis is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 28200 Bouquet Canyon Rd Ste G, Saugus, CA 91350-1447. The NPI number 1578280525 was assigned on October 20, 2022 and the record was last updated on October 20, 2022.

Laurelle Mathis lists a license in the registry: #SR0067900 (CA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Laurelle Marie Mathis?

The NPI number is 1578280525.

What is the phone number of Laurelle Mathis?

The phone number listed for the practice location is (661) 312-6139.

Where is Laurelle Mathis located?

28200 Bouquet Canyon Rd Ste G, Saugus, CA 91350-1447.

What is the taxonomy code for Laurelle Mathis?

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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