Individual provider · Type 1 NPI

Emiko Grace Matsumoto

Student in an Organized Health Care Education/Training Program · Tempe, AZ

NPI number 1003761669 Active

Practice location

1655 E Southern Ave Apt 23
Tempe, AZ 85282-5626

Call (480) 435-6370 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003761669

Emiko Grace Matsumoto's National Provider Identifier is 1003761669, issued on Feb 28, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tempe, AZ. The record was last updated on Feb 28, 2026.