Individual
MEGHAN GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3195 KNIGHT WAY SE, GRAND RAPIDS, MI 49546-4409
(616) 526-7674
Mailing address
995 TANAGER CT, ANTIOCH, IL 60002-6408
(614) 593-2355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2015
Last updated
04/28/2020
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