Individual
EMIKO GRACE MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 E SOUTHERN AVE APT 23, TEMPE, AZ 85282-5626
(480) 435-6370
Mailing address
1655 E SOUTHERN AVE APT 23, TEMPE, AZ 85282-5626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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