Matt Chidester
Matt Chidester is an Athletic Trainer in Provo, Utah. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
755 N 100 E Apt C109Provo, UT 84606-1736
Phone: (858) 756-0805
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1831553510 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2016 |
| Last updated in NPPES | April 8, 2016 |
| Mailing address | 755 N 100 E Apt C109, Provo, UT 84606-1736 |
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