Kathryn S Rejc, AT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001164 Issued in MI

Practice address

4100 Lake Dr SE
Suite 305
Grand Rapids, MI 49546-8292

Phone

(616) 267-8565

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kathryn S Higgins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1841604964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MANZANA CT NW APT 3D",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495345793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 LAKE DR SE",
            "address_2": "SUITE 305",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468292",
            "telephone_number": "616-267-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REJC",
        "first_name": "KATHRYN",
        "middle_name": "S",
        "credential": "AT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HIGGINS",
            "middle_name": "S",
            "credential": "AT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carol Reiss, MS OTRL
• Benjamin Reisterer, LPC
• Chelsea Gene' Reits, LMSW
• Samantha Reitsma, M.A.
• Jonathan Reitzenstein, MD
• Matthew Rejc
• Yvonne Margaret Rekeny, M.D.
• Relational Therapy Collective LLC
• Reliance Community Care Partners
• Reliance Community Care Partners (Reliance Integrated Wellness Center)

• Athletic Trainer in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.