Vince Mottes
Individual provider Active NPI Athletic Trainer · Grass Lake, MI
NPI 1033640248 · NPPES record last updated Mar 21, 2017
Key facts
- NPI
- 1033640248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2601001510 (MI)
- Practice address
- 9550 Cedar Knoll Dr
Grass Lake, MI 49240-9634 - Phone
- (517) 315-1150
- NPI assigned
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2601001510 | MI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601001510 | MI | Yes |
Addresses
Primary practice location
9550 Cedar Knoll Dr
Grass Lake, MI 49240-9634
Mailing address
9550 Cedar Knoll Dr
Grass Lake, MI 49240-9634
Phone (517) 315-1150
Other providers in Grass Lake, MI
- Leighton'S Light PLLC
- Mark E Leventer
- Barbara J McConnell
- Daniel Nelson Mikel
- Betsabe Molleda
- Matthew F. Navarre
- Holleigh Neff
- Thera Nichols
- Melissa O'Neill
- Julie Lynn Pariseau
All providers in Grass Lake, 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 Mar 21, 2017. 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.