Individual provider · Type 1 NPI

Matt Chidester

Student in an Organized Health Care Education/Training Program · Provo, UT

NPI number 1831553510 Active

Practice location

755 N 100 E Apt C109
Provo, UT 84606-1736

Call (858) 756-0805 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 1831553510

Matt Chidester's National Provider Identifier is 1831553510, issued on Apr 8, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Provo, UT. The record was last updated on Apr 8, 2016.