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

Shingo Matsubara, ATC

Individual provider Athletic Trainer · NPI 1962918136

Shingo Matsubara, ATC is an Athletic Trainer in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

261 Mack Ave
Detroit, MI 48201-2417
Phone: (313) 745-9745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601000672 (MI)

Record details

NPI number1962918136
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedDecember 23, 2017
Last updated in NPPESDecember 23, 2017
Mailing address22555 Cranbrooke Dr, Novi, MI 48375-4503

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