NPI 1053989897
Ryan Grinnell, ATATC
Practice location
- Address
- 100 Michigan St NE, Grand Rapids, MI 49503-2560
- Phone
- (866) 989-7999
- Mailing address
- 808 Bristol Ave NW, Grand Rapids, MI 49504-4840
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1053989897
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Jun 2021
- Record last updated
- 17 Jun 2021
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.