NPI 1003236506

Austin Matlock, ATC

Practitioner Athletic Trainer Jefferson City, MO

Practice location

Address: 820 Chestnut St 115 Jason Hall, Jefferson City, MO 65101-3537
Phone: (573) 681-5331
Mailing address: 2609a Southridge Dr, Jefferson City, MO 65109-2069

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2011025934 (MO)

Other Specialist/Technologist providers in Missouri →

Registry record

NPI: 1003236506
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2014
Record last updated: 23 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.