Individual
BRIANNA BAILEE BOUWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, MS
Contact information
Practice address
1322 ANDERSON PL NW, GRAND RAPIDS, MI 49504-3101
(616) 414-2835
Mailing address
1322 ANDERSON PL NW, GRAND RAPIDS, MI 49504-3101
(616) 414-2835
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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