Jared F. Matkowski, LATC

Athletic Trainer · Glastonbury, CT

Individual Active NPI

NPI number 1194853002

Practice location

2928 Main St
Eastern Rehabilitation Network
Glastonbury, CT 06033-1007
Phone
(860) 657-4723

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NPI record

NPI
1194853002
Entity type
Individual (Type 1)
Enumeration date
March 1, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 000088 CT

Mailing address

108 McKee St Apt K
Manchester, CT 06040-4859
Phone
(860) 432-3581

About Jared Matkowski

Jared F. Matkowski, LATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 2928 Main St, Eastern Rehabilitation Network, Glastonbury, CT 06033-1007. The NPI number 1194853002 was assigned on March 1, 2007 and the record was last updated on July 8, 2007.

Jared Matkowski lists a license in the registry: #000088 (CT) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jared F. Matkowski, LATC?

The NPI number is 1194853002.

What is the phone number of Jared Matkowski?

The phone number listed for the practice location is (860) 657-4723.

Where is Jared Matkowski located?

2928 Main St, Eastern Rehabilitation Network, Glastonbury, CT 06033-1007.

What is the taxonomy code for Jared Matkowski?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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