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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE NICOLE FORTON, MS, LAT, ATC

Active

STEPHANIE NICOLE FORTON, MS, LAT, ATC is a Athletic Trainer healthcare provider located in GRAND RAPIDS, Michigan. NPI 1376109546 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GRAND RAPIDS, MI

Registration Details

NPI Number
1376109546
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2019 (7.2144468905037 yrs)
Last Updated
May 14, 2019
License
2601001186 (MI)

Practice Information

Address
1700 FULTON ST E
GRAND RAPIDS, MI, 495061799
Browse MI providers · Browse ZIP 49506
Phone
6166322971
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.