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

Matthew Robert Lewis, MAT, AT, ATC

Individual provider Athletic Trainer · NPI 1629715461

Matthew Robert Lewis, MAT, AT, ATC is an Athletic Trainer in Mancelona, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

6815 Twin Lake Rd NE
Mancelona, MI 49659-8840
Phone: (231) 384-5479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000050609 (MI)

Record details

NPI number1629715461
Entity typeIndividual (Type 1)
GenderMale
Credentials MAT , AT , ATC
Sole proprietorNo
NPI enumeratedMay 13, 2022
Last updated in NPPESMay 13, 2022
Certification dateMay 12, 2022