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Matthew Niesen, ATC
NPI 1508256744 · on the registry since 2015 · sole proprietor
Practice
- Address
- 7000 Powers Ave
Jacksonville, FL 32217 - Phone
- (904) 708-7919
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Also registered as
- Athletic Trainer
- Licence states on file
- FL, HI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida