IndividualActive
Matthew Zimmerman, LAT, ATC
NPI 1336639764 · Athletic Trainer · Laramie, WY
Provider details
- NPI number
- 1336639764
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 192 (WY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1000 E University Ave Dept 3604
Laramie, WY 82071-2001
Phone: (307) 766-6678
Approximate (ZIP-level) locationGet directions
Mailing address
1000 E University Ave Dept 3604
Laramie, WY 82071-2001
Registry dates
- Enumerated
- 2018-05-10
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.