Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Individual

Organization Athletic Trainer · NPI 1669862587

Individual is an Athletic Trainer in Orion, Michigan. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2926 Waldon Park Dr
Orion, MI 48359-1336
Phone: (248) 390-8998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1669862587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Hatzel — Associate Professor · (616) 331-8538
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 30, 2015
Mailing address2926 Waldon Park Dr, Orion, MI 48359-1336