IndividualActive
Alex Coon, ATC
NPI 1104553031 · Athletic Trainer · Grand Rapids, MI
Provider details
- NPI number
- 1104553031
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 2601002764 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5901 Hall St Se
Grand Rapids, MI 49546-3849
Phone: (616) 970-3336
Approximate (ZIP-level) locationGet directions
Mailing address
7865 Golf Meadows Dr Se
Caledonia, MI 49316-8071
Registry dates
- Enumerated
- 2022-08-02
- Last updated
- 2022-08-02
- Certified
- 2022-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.