Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew Lee Mallinger, BS, ATC, OTC

Individual provider Athletic Trainer · NPI 1851837389

Matthew Lee Mallinger, BS, ATC, OTC is an Athletic Trainer in Plymouth, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2805 Campus Dr Ste 465
Plymouth, MN 55441-2680
Phone: (952) 946-9777
Fax: (952) 946-9888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000027256 (MN)

Record details

NPI number1851837389
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , ATC , OTC
Sole proprietorYes
NPI enumeratedJanuary 8, 2017
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

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