Individual
JENNIFER HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
350 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4656
(616) 456-8515
(616) 456-8208
Mailing address
350 LAFAYETTE AVE SE, GRAND RAPIDS, MI 49503-4656
(616) 456-8515
(616) 456-8208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001446
MI
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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