GRACE MIERENDORF LAT ATC NPI 1538774849

NPI Information

  • NPI: 1538774849
  • Provider Name: GRACE MIERENDORF, LAT, ATC
  • Classification: Specialist/Technologist - 2255A2300X
  • Specialization: Athletic Trainer
  • Entity Type: Individual
  • Address: 2770 E BELTLINE AVE NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Phone: (616) 267-7000

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NPI Details

Grace Mierendorf, LAT, ATC is an athletic trainer specialist technologist in Grand Rapids, MI. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Grace Mierendorf, LAT, ATC NPI is 1538774849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2770 E BELTLINE AVE NE
GRAND RAPIDS, MI
ZIP 49525-614
Phone: (616) 267-7000

The enumeration date for this NPI number is 9/14/2020 and was last updated on 11/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic Trainer2601002645MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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