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

Jeremy Marra, ATC, CSCS

Individual provider Athletic Trainer · NPI 1447458799

Jeremy Marra, ATC, CSCS is an Athletic Trainer in Lake Placid, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

60 Averyville Ln
Lake Placid, NY 12946-3002
Phone: (734) 502-6031
Show map & directions

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

Additional practice locations (1)

  • 27165 John Dr, New Boston, MI 48164-9049 — (734) 647-1921

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601000082 (MI)

Record details

NPI number1447458799
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , CSCS
Sole proprietorYes
NPI enumeratedJuly 9, 2007
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

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