Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. IAN DANIEL MATLACK
ActiveMR. IAN DANIEL MATLACK is a Athletic Trainer healthcare provider located in KIRKSVILLE, Missouri. NPI 1417638685 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · KIRKSVILLE, MO
Registration Details
- NPI Number
- 1417638685
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2023 (3.013304508832 yrs)
- Last Updated
- May 15, 2024
Practice Information
- Address
-
100 E NORMAL AVEKIRKSVILLE, MO, 635014200Browse MO providers · Browse ZIP 63501
- Phone
- 8162447674
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in KIRKSVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| MICHELLE BOYD | ATC | 1639130909 |
| NICOLE SUMMERS | ATC | 1811958986 |
| MR. ADAM LANCE CLINE | ATC | 1619938594 |
| MRS. CASSANDRA MARIE DEBLAUW | MS, ATC | 1386609139 |
| MORGAN LOCHER | ATC | 1316391790 |
| LORRIE PETERS | — | 1538613542 |
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.