Individual
MISS GRETCHEN E. BUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
799 N HEWITT RD, YPSILANTI, MI 48197-1701
(734) 487-5183
Mailing address
799 N HEWITT RD, YPSILANTI, MI 48197-1701
(734) 487-5183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002135
MI
2255A2300X
Athletic Trainer
AT 003271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060402534
ATHLETIC TRAINER
—
01
—
2601002135
ATHLETIC TRAINER STATE LICENSURE
MI
01
—
AT 003271
ATHLETIC TRAINER LICENSURE
OH
Enumeration date
02/08/2007
Last updated
05/23/2019
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