Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILSON MATTHEW MCKNIGHT, ATC
Active Sole ProprietorWILSON MATTHEW MCKNIGHT, ATC is a Athletic Trainer healthcare provider located in VILONIA, Arkansas. NPI 1063949691 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · VILONIA, AR
Registration Details
- NPI Number
- 1063949691
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2017 (9.228461157694 yrs)
- Last Updated
- Mar 17, 2018
- License
-
677 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1164 MAIN STREETVILONIA, AR, 721737217Browse AR providers · Browse ZIP 72173
- Phone
- 5014724442
- Fax
- 5014724442
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.