JORDAN KELLY WEITZELL MAT, LAT, ATC
NPI 1134622129
Specialist/Technologist - Athletic Trainer in Plymouth, IN

Active since March 15, 2018
1919 LAKE AVE, PLYMOUTH, IN 46563(574) 948-4800 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Kelly Weitzell Mat, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN KELLY WEITZELL MAT, LAT, ATC (NPI 1134622129) is an individual athletic trainer provider in Plymouth, Indiana and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1134622129
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameJORDAN KELLY WEITZELLCredential: MAT, LAT, ATC
Location Address1919 LAKE AVEPlymouth, IN 46563-7830
Mailing Address1371 Holloway DrPlymouth, IN 46563-3174 · (641) 751-1416
Sole ProprietorNo
Enumeration DateMarch 15, 2018
NPI 1134622129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1919 LAKE AVE, Plymouth, IN 46563

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1919 LAKE AVE, SUITE 110
PLYMOUTH, IN 46563
Specialist/Technologist (Athletic Trainer)
1919 LAKE AVE
PLYMOUTH, IN 46563
Family Medicine
1919 LAKE AVE, SUITE 104
PLYMOUTH, IN 46563
Family Medicine
1919 LAKE AVE, SUITE 104
PLYMOUTH, IN 46563
Advanced Practice Midwife
1919 LAKE AVE, SUITE 99
PLYMOUTH, IN 46563
Surgery
1919 LAKE AVE, SUITE 102
PLYMOUTH, IN 46563
Durable Medical Equipment & Medical Supplies
1919 LAKE AVE, SUITE 107B
PLYMOUTH, IN 46563
Surgery
1919 LAKE AVE, SUITE 102
PLYMOUTH, IN 46563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Weitzell's NPI number?

The NPI number for Jordan Weitzell is 1134622129. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Jordan Weitzell located?

Jordan Weitzell practices at 1919 Lake Ave, Plymouth, IN 46563. The listed phone number is (574) 948-4800.

What is Jordan Weitzell's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jordan Weitzell was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.