Individual
MR. JERROD HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
206 ROBINHOOD DR NE, GRAND RAPIDS, MI 49546-1305
(616) 916-3024
Mailing address
206 ROBINHOOD DR NE, GRAND RAPIDS, MI 49546-1305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002289A
IN
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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