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

Individual provider Athletic Trainer · NPI 1336503390

Jeffrey Douglas, DPT, ATC is an Athletic Trainer in Eden Prairie, Minnesota. Practices as a sole proprietor. Licensed in Florida and Minnesota.

Licensed in
FL, MN
In the registry since
2016
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

11995 Singletree Ln Ste 120
Eden Prairie, MN 55344-5338
Phone: (763) 220-6064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10977 (MN)
Athletic Trainer Taxonomy 2255A2300X · Licence AL 4387 (FL)

Record details

NPI number1336503390
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , ATC
Sole proprietorYes
NPI enumeratedApril 6, 2016
Last updated in NPPESMarch 8, 2018
Mailing address11995 Singletree Ln Ste 120, Eden Prairie, MN 55344-5338

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