Elizabeth Marie Henk, MS, AT, ATC
Individual provider Active NPI Athletic Trainer · Mattawan, MI
NPI 1457749640 · NPPES record last updated Dec 23, 2014
Key facts
- NPI
- 1457749640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2601000230 (MI)
- Practice address
- 4090 60TH Ave
Mattawan, MI 49071-9525 - Phone
- (269) 377-7884
- NPI assigned
- Dec 23, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601000230 | MI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601000230 | MI | Yes |
Addresses
Primary practice location
4090 60TH Ave
Mattawan, MI 49071-9525
Mailing address
24090 60TH Ave
Mattawan, MI 49071-9525
Phone (269) 377-7884
Other providers in Mattawan, MI
- Mikayla Grieser
- Kirsten Haroldson
- Healing House Therapy LLC
- Morgan Heckaman
- Ian Heinicke
- Aracely Hernandez
- Allison Lee Hibma
- Martin Friedrich Hoffmann
- Jay Phillip Horwich
- Sarah Andrasi Howie
All providers in Mattawan, 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 Dec 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.