Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN DAVID MATZOLL, ATC
Active Sole ProprietorMR. JOHN DAVID MATZOLL, ATC is a Athletic Trainer healthcare provider located in FRIDLEY, Minnesota. NPI 1609908870 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FRIDLEY, MN
Registration Details
- NPI Number
- 1609908870
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2007 (19.457947144994 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1204 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1350 GARDENA AVE NEFRIDLEY, MN, 554325830Browse MN providers · Browse ZIP 55432
- Phone
- 7635719116
- Fax
- 7635719118
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in FRIDLEY, MN
| Name | Credential | NPI |
|---|---|---|
| MEGAN MONJEAU | — | 1962895037 |
| CHRISTIANE SCHWECKE | ATC | 1093163164 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.