NPI 1194853002

Jared F Matkowski, LATC

Practitioner Athletic Trainer Glastonbury, CT

Practice location

Address: 2928 Main St Eastern Rehabilitation Network, Glastonbury, CT 06033-1007
Phone: (860) 657-4723
Mailing address: 108 McKee St APT K, Manchester, CT 06040-4859

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000088 (CT)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1194853002
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
Record last updated: 8 Jul 2007

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.