Individual
HOLLY L HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(866) 989-7999
Mailing address
491 FINLEY RD, ALBION, MI 49224-9138
(517) 392-5101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004015
IL
Other
Enumeration date
01/19/2015
Last updated
03/16/2020
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