Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Kelly Weitzell, MAT, LAT, ATC

Individual provider Athletic Trainer · NPI 1134622129

Jordan Kelly Weitzell, MAT, LAT, ATC is an Athletic Trainer in Plymouth, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1919 Lake Ave
Plymouth, IN 46563-7830
Phone: (574) 948-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1134622129
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAT , LAT , ATC
Sole proprietorNo
NPI enumeratedMarch 15, 2018
Last updated in NPPESMarch 15, 2018

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