NPI 1033608559

Jenade Holloway, ATC

Practitioner Athletic Trainer Grand Rapids, MI

Practice location

Address: 4100 Lake Dr SE STE 300, Grand Rapids, MI 49546-8292
Phone: (616) 267-9241

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2601000710 (MI)

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1033608559
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2018
Record last updated: 10 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.