Jeremy Daniel Atkins, ATC

Individual provider Active NPI Athletic Trainer · Commerce Township, MI

NPI 1992848337 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992848337
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
1600 E Oakley Park Rd
Commerce Township, MI 48390-5509
Phone
(248) 672-0106
NPI assigned
Feb 15, 2007
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

1600 E Oakley Park Rd
Commerce Township, MI 48390-5509

Mailing address

12853 Dixie
Redford, MI 48239-2601
Phone (248) 763-1432

Other providers in Commerce Township, MI

All providers in Commerce Township, MI · Athletic Trainer in Michigan

Sources for this page

Verify at the official NPI Registry.