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

Individual provider Athletic Trainer · NPI 1538774849

Grace Mierendorf, LAT, ATC is an Athletic Trainer in Grand Rapids, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2770 E Beltline Ave NE
Grand Rapids, MI 49525-8614
Phone: (616) 267-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3685 Butternut Dr, Holland, MI 49424-5439 — (616) 786-1100

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601002645 (MI)

Record details

NPI number1538774849
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedSeptember 14, 2020
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

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