JACQUELINE PHILLIPS MS, ATC
NPI 1073912895
Specialist/Technologist - Athletic Trainer in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Specialist/Technologist with taxonomy code 2255A2300X and a focus in Athletic Trainer.

Active since August 18, 2014

2770 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 267-8860(616) 267-8442 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Specialist/Technologist
Athletic Trainer

About JACQUELINE PHILLIPS

This page provides the complete NPI Profile along with additional information for Jacqueline Phillips, a provider established in Grand Rapids, Michigan with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1073912895 assigned on August 2014. The practitioner's primary taxonomy code is 2255A2300X with license number 2601002859 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1073912895 Verify this NPI
Provider Name: JACQUELINE PHILLIPS MS, ATC
Gender: Female
Entity Type: Individual
Location Address: 2770 E BELTLINE AVE NE GRAND RAPIDS, MI 49525
Location Phone: (616) 267-8860
Location Fax: (616) 267-8442
Mailing Address: 2770 E BELTLINE AVE NE GRAND RAPIDS, MI 49525
Mailing Phone: (616) 267-8860
Mailing Fax: (616) 267-8442
Is Sole Proprietor?: No
Enumeration Date: 08-18-2014
Last Update Date: 11-28-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Specialist/Technologist Athletic Trainer
Taxonomy Code: 2255A2300X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.: 2601002859
License State: MI
Taxonomy Description: 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.