Individual
ELIZABETH ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
4100 LAKE DR SE, SUITE 300, GRAND RAPIDS, MI 49546-8292
(616) 267-8600
Mailing address
1800 TREMONT BLVD NW, GRAND RAPIDS, MI 49504-4868
(616) 819-1153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001101
MI
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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