Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW LEE MALLINGER, BS, ATC, OTC
Active Sole ProprietorMATTHEW LEE MALLINGER, BS, ATC, OTC is a Athletic Trainer healthcare provider located in PLYMOUTH, Minnesota. NPI 1851837389 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PLYMOUTH, MN
Registration Details
- NPI Number
- 1851837389
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 8, 2017 (9.5585765074881 yrs)
- Last Updated
- Apr 19, 2022
- License
-
2000027256 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2805 CAMPUS DR STE 465PLYMOUTH, MN, 554412680Browse MN providers · Browse ZIP 55441
- Phone
- 9529469777
- Fax
- 9529469888
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PLYMOUTH, MN
| Name | Credential | NPI |
|---|---|---|
| STACEY ORTIZ | LAT, ATC | 1306233655 |
| SAMANTHA KIESER | ATC | 1750767281 |
| KALLIE SCHMIT | — | 1225578297 |
| MISS ERIN KATHLEEN GARRY | — | 1578004396 |
| CODY GROTEWOLD | MS, ATC, LAT | 1538696273 |
| MATTHEW S MILLER | BS | 1598365850 |
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.