NPI 1063828358

Tricia Jennifer Matysak, ATC

Practitioner Athletic Trainer Fayetteville, AR

Practice location

Address: University of Arkansas 131 Barnhill Arena, Fayetteville, AR 72701-1201
Phone: (479) 575-4809
Fax: (479) 575-2471
Mailing address: 4866 W Trail Dust St, Fayetteville, AR 72704-7671

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT 476 (AR)

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1063828358
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2014
Record last updated: 8 Jul 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.