National Provider Identifier
Michael Matheny, ATC
Michael Matheny, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 274-1268.
Profile Overview
- NPI
- 1760803621
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- December 19, 2013
- Last Updated
- December 19, 2013
Practice Location
- 953 Danby RD
- Ithaca, NY 14850-7000
Phone: (607) 274-1268
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1760803621
- Entity Type
- Individual
- Last Name
- Matheny
- First Name
- Michael
- Credential
- ATC
- Mailing Street Address
- 953 Danby RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-7000
- Mailing Country
- US
- Mailing Phone
- (607) 274-1268
- Mailing Fax
- (607) 274-1185
- Practice Street Address
- 953 Danby RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-7000
- Practice Country
- US
- Practice Phone
- (607) 274-1268
- Practice Fax
- (607) 274-1185
- Enumeration Date
- December 19, 2013
- Last Updated
- December 19, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)