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Matthew Willett, ATC
NPI 1104226018 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1010 Memorial Way Ste 100
Fort Wayne, IN 46805 - Phone
- (260) 341-9427
Additional practice sites
- 1104 E Grace St, Rensselaer, IN
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana