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

Mary Lou Hanks, ATC

Individual provider Other Specialist/Technologist · NPI 1366590499

Mary Lou Hanks, ATC is an Other Specialist/Technologist in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2007.

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

319 Sheldon Blvd SE
Grand Rapids, MI 49503-4515
Phone: (616) 443-6325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X

Record details

NPI number1366590499
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorYes
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJuly 8, 2007

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