Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW THOMAS JAKSETIC, ATC

Active Sole Proprietor

MATTHEW THOMAS JAKSETIC, ATC is a Athletic Trainer healthcare provider located in HAILEY, Idaho. NPI 1366776452 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · HAILEY, ID

Registration Details

NPI Number: 1366776452
Provider Type: Individual
Gender: Male
NPI Issued: Sep 23, 2009 (16.851401496704 yrs)
Last Updated: Jun 15, 2010
Licenses: AT-364 (ID)

959039 (WI)
Sole Proprietor: Yes

Practice Information

Address: 1450 AVIATION DR

201

HAILEY, ID, 833338785
Browse ID providers · Browse ZIP 83333
Phone: 2087278281
Fax: 2087278285
Primary Specialty: Athletic Trainer
2255A2300X
Additional Specialty: Athletic Trainer

Other Athletic Trainer Providers in HAILEY, ID

Name	Credential	NPI
DAVID REID ALLRED	MS, ATC	1225360035

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.