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

Jacqueline Phillips, MS, ATC

Individual provider Athletic Trainer · NPI 1073912895

Jacqueline Phillips, MS, ATC is an Athletic Trainer in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
MS — Master of Science
A graduate science degree.
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) 267-8860
Fax: (616) 267-8442
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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 2601002859 (MI)

Record details

NPI number1073912895
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , ATC
Sole proprietorNo
NPI enumeratedAugust 18, 2014
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025
Mailing address2770 E Beltline Ave Ne, Grand Rapids, MI 49525-8614

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