Individual
HEIDI PAULA MATSAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2404 STOWE DR, LAWRENCE, KS 66049-1866
(951) 334-6218
Mailing address
2404 STOWE DR, LAWRENCE, KS 66049-1866
(951) 334-6218
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
10/21/2009
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