Individual
EMILY PAIGE MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 SE 3RD ST, BENTONVILLE, AR 72712-9379
(479) 372-2766
Mailing address
2800 SE 3RD ST, BENTONVILLE, AR 72712-9379
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2023
Last updated
06/05/2024
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