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
Mailing address3112 Humboldt Ave S, Apartment 4, Minneapolis, MN 55408-2683

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