Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Shaffer, LATATC

Individual provider Athletic Trainer · NPI 1043607187

Matthew Shaffer, LATATC is an Athletic Trainer in Polk, Pennsylvania. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2015
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Practice location Address checks out

293 Raymilton Rd
Polk, PA 16342-2927
Phone: (814) 758-1764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0126002306 (VA)

Record details

NPI number1043607187
Entity typeIndividual (Type 1)
GenderMale
Credentials LATATC
Sole proprietorYes
NPI enumeratedApril 15, 2015
Last updated in NPPESApril 15, 2015

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