Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE MIERENDORF, LAT, ATC
Active Sole ProprietorGRACE MIERENDORF, LAT, ATC is a Athletic Trainer healthcare provider located in GRAND RAPIDS, Michigan. NPI 1538774849 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1538774849
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2020 (5.8814265850916 yrs)
- Last Updated
- Nov 8, 2024
- License
-
2601002645 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2770 E BELTLINE AVE NEGRAND RAPIDS, MI, 495258614Browse MI providers · Browse ZIP 49525
- Phone
- 6162677000
- 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.