IndividualActive
Alonzo Groggins, ATC, AT
NPI 1417509902 · Athletic Trainer · Dearborn, MI
Provider details
- NPI number
- 1417509902
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, AT
- Sex
- Male
- Sole proprietor
- No
- License
- 2601001380 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
13800 Ford Rd
Dearborn, MI 48126-3296
Phone: (313) 308-7195
Approximate (ZIP-level) locationGet directions
Mailing address
20434 Klinger St
Detroit, MI 48234-1746
Registry dates
- Enumerated
- 2019-07-15
- Last updated
- 2019-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.