Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matt Jordan

Individual provider Athletic Trainer · NPI 1053717355

Matt Jordan is an Athletic Trainer in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2014

Practice location Address checks out

3112 Humboldt Ave S Apt 4
Minneapolis, MN 55408-2683
Phone: (612) 508-4967
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2457 (MN)

Record details

NPI number1053717355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 13, 2014
Last updated in NPPESNovember 13, 2014

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