Individual
MATTHEW SKUFZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
605 WASHINGTON ST, FAYETTE, IA 52142-9206
(563) 425-5664
Mailing address
905 N FREDERICK AVE, OELWEIN, IA 50662-1048
(319) 283-9245
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00321
IA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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