Alicia Tock
Individual provider Active NPI Athletic Trainer · Hamilton, MI
NPI 1013319920 · NPPES record last updated Sep 23, 2014
Key facts
- NPI
- 1013319920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2601000328 (MI)
- Practice address
- 3491 Lincoln Rd
Hamilton, MI 49419-9512 - Phone
- (269) 751-2150
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601000328 | MI | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Rehabilitation PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601000328 | MI | Yes |
Addresses
Primary practice location
3491 Lincoln Rd
Hamilton, MI 49419-9512
Mailing address
PO Box 1695
Holland, MI 49422-1695
Phone (616) 392-3197
Other providers in Hamilton, MI
- Michelle Ann Shepard
- Keith Slenk
- Kelli Ann Smith
- Frances Reed Talsma
- Heather Jean Tenelshof
- Tara E Tomman
- Jessica Catherine Tubergen
- Visualeyes Center of Visual Development, PLLC
- West Michigan Rehabilitation PC
- Benjamin H Wickstra
All providers in Hamilton, MI · Athletic Trainer in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.