Matthew Thomas Jaksetic, ATC
Athletic Trainer · Hailey, ID
Practice location
1450 Aviation Dr201
Hailey, ID 83333-8785
- Phone
- (208) 727-8281
- Fax
- (208) 727-8285
NPI record
- NPI
- 1366776452
- Entity type
- Individual (Type 1)
- Enumeration date
- September 23, 2009
- Last updated
- June 15, 2010
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
AT-364 | ID |
| Athletic Trainer | 2255A2300X |
959039 | WI |
Mailing address
PO Box 2561Ketchum, ID 83340-2561
- Phone
- (906) 282-4876
About Matthew Jaksetic
Matthew Thomas Jaksetic, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1450 Aviation Dr, 201, Hailey, ID 83333-8785. The NPI number 1366776452 was assigned on September 23, 2009 and the record was last updated on June 15, 2010.
Matthew Jaksetic lists 2 licenses in the registry: #AT-364 (ID) for Athletic Trainer; #959039 (WI) 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 Matthew Thomas Jaksetic, ATC?
The NPI number is 1366776452.
What is the phone number of Matthew Jaksetic?
The phone number listed for the practice location is (208) 727-8281.
Where is Matthew Jaksetic located?
1450 Aviation Dr, 201, Hailey, ID 83333-8785.
What is the taxonomy code for Matthew Jaksetic?
The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.
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.
Other Athletic Trainer providers in Hailey
- David Reid Allred, MS, ATC1250 Fox Acres Rd