Provider Demographics
NPI:1912128505
Name:TRENT, MATTHEW DUNCAN (MED, ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:DUNCAN
Last Name:TRENT
Suffix:
Gender:M
Credentials:MED, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 DENNIS CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5944
Mailing Address - Country:US
Mailing Address - Phone:615-400-1252
Mailing Address - Fax:
Practice Address - Street 1:109 DENNIS CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5944
Practice Address - Country:US
Practice Address - Phone:615-400-1252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAT00000006282255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer