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MR. JOHN DAVID MATZOLL ATC
NPI 1609908870
Specialist/Technologist - Athletic Trainer in Fridley, MN

Active since March 12, 2007
1350 GARDENA AVE NE, FRIDLEY, MN 55432(763) 571-9116(763) 571-9118 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John David Matzoll Atc NPPES

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

MR. JOHN DAVID MATZOLL ATC (NPI 1609908870) is an individual athletic trainer provider in Fridley, Minnesota, licensed in Minnesota (1204) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1609908870
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. JOHN DAVID MATZOLLCredential: ATC
Location Address1350 GARDENA AVE NEFridley, MN 55432-5830
Mailing Address1350 Gardena Ave NeFridley, MN 55432-5830 · (763) 571-9116 · Fax (763) 571-9118
Phone(763) 571-9116
Fax(763) 571-9118
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609908870 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
License✔ Licensed in MN · 1204
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.
1350 GARDENA AVE NE, Fridley, MN 55432
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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 John Matzoll's NPI number?

The NPI number for John Matzoll is 1609908870. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is John Matzoll located?

John Matzoll practices at 1350 Gardena Ave NE, Fridley, MN 55432. The listed phone number is (763) 571-9116.

What is John Matzoll'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 John Matzoll was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.