Matthew Rysdyk, ATC

Athletic Trainer · Flagstaff, AZ

Individual Active NPI

NPI number 1750774154

Practice location

1830 S Milton Rd
Apt. #153
Flagstaff, AZ 86001-6337
Phone
(616) 304-8100

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NPI record

NPI
1750774154
Entity type
Individual (Type 1)
Enumeration date
March 9, 2015
Last updated
July 22, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 2601001602 MI
Student in an Organized Health Care Education/Training Program 390200000X — —

About Matthew Rysdyk

Matthew Rysdyk, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1830 S Milton Rd, Apt. #153, Flagstaff, AZ 86001-6337. The NPI number 1750774154 was assigned on March 9, 2015 and the record was last updated on July 22, 2016.

Matthew Rysdyk lists a license in the registry: #2601001602 (MI) 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 Rysdyk, ATC?

The NPI number is 1750774154.

What is the phone number of Matthew Rysdyk?

The phone number listed for the practice location is (616) 304-8100.

Where is Matthew Rysdyk located?

1830 S Milton Rd, Apt. #153, Flagstaff, AZ 86001-6337.

What is the taxonomy code for Matthew Rysdyk?

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.

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