Mitchell Glass
Mitchell Glass is an Athletic Trainer in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
640 Kingsbury St NWGrand Rapids, MI 49544-6913
Phone: (616) 610-7596
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1558754606 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 13, 2015 |
| Last updated in NPPES | March 13, 2015 |
| Mailing address | 640 Kingsbury St Nw, Grand Rapids, MI 49544-6913 |
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