Individual
EMILY PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC, CSCS
Contact information
Practice address
1700 N GREENFIELD CIR NE APT 102, GRAND RAPIDS, MI 49505-5673
(616) 848-0309
Mailing address
1700 N GREENFIELD CIR NE APT 102, GRAND RAPIDS, MI 49505-5673
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000632
MI
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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