Matthew Thomas Jaksetic, ATC

NPI #1366776452 in Hailey, Idaho

Provider Information

NPI Number
1366776452
Entity Type
Individual
Name
Matthew Thomas Jaksetic, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Sep 23, 2009
Last Updated
Jun 15, 2010

Practice Location

Address
1450 AVIATION DR
Address 2
201
City
Hailey
State
Idaho
ZIP Code
83333-8785
Phone
(208) 727-8281

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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