Individual
MATTHEW RYSDYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1830 S MILTON RD, APT. #153, FLAGSTAFF, AZ 86001-6337
(616) 304-8100
Mailing address
1830 S MILTON RD, APT. #153, FLAGSTAFF, AZ 86001-6337
(616) 304-8100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001602
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/09/2015
Last updated
07/22/2016
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