Matthew Willett, ATC
NPI #1104226018 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1104226018
- Entity Type
- Individual
- Name
- Matthew Willett, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Aug 27, 2014
- Last Updated
- Mar 17, 2018
Practice Location
- Address
- 1010 MEMORIAL WAY STE 100
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-1368
- Phone
- (260) 341-9427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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