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MR. IAN DANIEL MATLACK
NPI 1417638685
Specialist/Technologist - Athletic Trainer in Kirksville, MO

Active since July 31, 2023
100 E NORMAL AVE, KIRKSVILLE, MO 63501(816) 244-7674 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ian Daniel Matlack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. IAN DANIEL MATLACK (NPI 1417638685) is an individual athletic trainer provider in Kirksville, Missouri and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1417638685
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. IAN DANIEL MATLACK
Location Address100 E NORMAL AVEKirksville, MO 63501-4200
Mailing Address2903 Angelique StSaint Joseph, MO 64501-3436 · (816) 244-7674
Phone(816) 244-7674
Sole ProprietorNo
Enumeration DateJuly 31, 2023
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1417638685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
100 E NORMAL AVE, Kirksville, MO 63501
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BENJAMIN BRINEY ATC
Specialist/Technologist (Athletic Trainer)
100 E NORMAL AVE
KIRKSVILLE, MO 63501
Adair County (660) 785-4468
TERESA LYN TUCKER RN, WHNP-BC
Nurse Practitioner (Women's Health)
100 E NORMAL AVE
KIRKSVILLE, MO 63501
Adair County (660) 785-4182
MR. LUCAS CHARLES FISCHER MED
Counselor (Professional)
100 E NORMAL AVE
KIRKSVILLE, MO 63501
Adair County (660) 785-4014
HANNAH BUSUNG KWON
Social Worker (Clinical)
100 E NORMAL AVE
KIRKSVILLE, MO 63501
Adair County (660) 785-4014
ASHLEY ROSE
Student in an Organized Health Care Education/Training Program
100 E NORMAL AVE
KIRKSVILLE, MO 63501
Adair County (816) 872-7673
CHAD VERDIER
Student in an Organized Health Care Education/Training Program
100 E NORMAL AVE
KIRKSVILLE, MO 63501
Adair County (573) 795-2966
ERIN MARGARET STORM LMSW, MDIV.
Social Worker (Clinical)
100 E NORMAL AVE
KIRKSVILLE, MO 63501
Adair County (660) 785-4182
HAYDEN M WELLS
Specialist/Technologist (Athletic Trainer)
100 E NORMAL AVE
KIRKSVILLE, MO 63501
Adair County (816) 835-5742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Matlack's NPI number?

The NPI number for Ian Matlack is 1417638685. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Ian Matlack located?

Ian Matlack practices at 100 E Normal Ave, Kirksville, MO 63501. The listed phone number is (816) 244-7674.

What is Ian Matlack's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Ian Matlack was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.