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

Justin Travis Greenlaw, AT, ATC

Individual provider Athletic Trainer · NPI 1518377134

Justin Travis Greenlaw, AT, 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?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

4100 Lake Dr SE #305
Grand Rapids, MI 49546-8292
Phone: (616) 267-8860
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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 2601001195 (MI)

Record details

NPI number1518377134
Entity typeIndividual (Type 1)
GenderMale
Credentials AT , ATC
Sole proprietorNo
NPI enumeratedMay 5, 2014
Last updated in NPPESMay 5, 2014

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