Mr. Ian Daniel Matlack
Mr. Ian Daniel Matlack is an Athletic Trainer in Kirksville, Missouri. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
100 E Normal AveKirksville, MO 63501-4200
Phone: (816) 244-7674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1417638685 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 31, 2023 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 15, 2024 |
| Mailing address | 2903 Angelique St, Saint Joseph, MO 64501-3436 |
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