NPI 1003656430

Khalil Jeter, MATATCLAT

Practitioner Athletic Trainer Ames, IA

Practice location

Address: 534 Wallace Rd, Ames, IA 50011-4008
Phone: (515) 294-8009
Mailing address: 15633 Cornell Ave, Dolton, IL 60419-3021

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Iowa →

Registry record

NPI: 1003656430
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2024
Record last updated: 29 May 2026

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.