Dianna Kisner, AT
Dianna Kisner, AT is an Athletic Trainer in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2013
Practice location Address checks out
160 68th St SWGrand Rapids, MI 49548-7114
Phone: (616) 455-3210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence L1890453 (MI) |
|---|
Record details
| NPI number | 1538401690 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AT |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2013 |
| Last updated in NPPES | March 26, 2013 |
| Mailing address | 4623 Poinsettia Ave Se, Kentwood, MI 49508-4505 |
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