Provider Demographics
NPI:1932488988
Name:HATCHER, MATTHEW ALLEN (ATC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:ALLEN
Last Name:HATCHER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7674 TECUMSEH ST
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38053-3227
Mailing Address - Country:US
Mailing Address - Phone:901-413-2531
Mailing Address - Fax:
Practice Address - Street 1:7674 TECUMSEH ST
Practice Address - Street 2:
Practice Address - City:MILLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38053-3227
Practice Address - Country:US
Practice Address - Phone:901-413-2531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer