Healthcare Provider Details

I. General information

NPI: 1134651458
Provider Name (Legal Business Name): STEPHANIE MORGAN MAT, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE RYCHLEC MAT, LAT, ATC

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LACKLAND AFB
FPO AA
78236
US

IV. Provider business mailing address

7907 HALO CIR
SAN ANTONIO TX
78252-4443
US

V. Phone/Fax

Practice location:
  • Phone: 210-496-2323
  • Fax:
Mailing address:
  • Phone: 303-906-8069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT8940
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: