Individual
DUSTIN COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
20905 E 12 MILE RD STE 200, ROSEVILLE, MI 48066-6501
(586) 204-0070
(586) 204-0080
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002079
MI
Other
Enumeration date
01/19/2016
Last updated
03/03/2026
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