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

Anthony Polazzo

Individual provider Athletic Trainer · NPI 1801290309

Anthony Polazzo is an Athletic Trainer in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

2300 Plymouth Ave SE
Grand Rapids, MI 49506-5225
Phone: (616) 574-5828
Show map & directions

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

Additional practice locations (1)

  • 1311 Chicago Ave, Evanston, IL 60201-4760 — (715) 923-4481

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601001008 (MI)

Record details

NPI number1801290309
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 14, 2014
Last updated in NPPESMarch 27, 2018
Mailing address628 Bayberry Pointe Dr Nw Apt F, Grand Rapids, MI 49534-4611

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