Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE PHILLIPS, MS, ATC
ActiveJACQUELINE PHILLIPS, MS, ATC is a Athletic Trainer healthcare provider located in GRAND RAPIDS, Michigan. NPI 1073912895 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1073912895
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 18, 2014 (11.948138193999 yrs)
- Last Updated
- Nov 28, 2025
- License
-
2601002859 (MI)
Practice Information
- Address
-
2770 E BELTLINE AVE NEGRAND RAPIDS, MI, 495258614Browse MI providers · Browse ZIP 49525
- Phone
- 6162678860
- Fax
- 6162678442
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL THOMAS ROCHE | ATC | 1326001777 |
| MR. PHILIP ANTHONY KEITH | ATC | 1578593711 |
| MR. JOSEPH HENRY DYKSTRA | ATC | 1184644940 |
| COURTNEY ANN VANDEWEGE | ATC | 1750393773 |
| MR. JESSE ROBERT BRINKS | ATC | 1477565158 |
| MR. KEVIN N PARKER | ATC | 1194884536 |
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.