Search › Arizona › 2255A2300X

Matthew Rysdyk, ATC

NPI 1750774154 · on the registry since 2015 · sole proprietor

Practice

Address
1830 S Milton Rd
Apt. #153
Flagstaff, AZ 86001
Phone
(616) 304-8100

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-22

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 Arizona