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Matt Jordan
NPI 1053717355 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3112 Humboldt Ave S
Apartment 4
Minneapolis, MN 55408 - Phone
- (612) 508-4967
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota