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WILSON MATTHEW MCKNIGHT ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1063949691

Individual Registrant:
 WILSON MATTHEW MCKNIGHT ATC
Gender: M
Sole Proprietor

Location and contact information for practice:
1164 MAIN STREET  VILONIA, AR 72173-7217 US
Tel: 501-472-4442  Fax: 501-472-4442

Contact information for business:
14 KIMBERLY DRIVE  VILONIA, AR 72173 US
Tel: 501-472-4442  Fax: --

Registration Information:
NPI: 1063949691
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
AR677

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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