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

Q: What is Jacqueline Phillips's NPI number?

The NPI number for Jacqueline Phillips is 1073912895. It was assigned to this individual provider in the NPPES registry on August 18, 2014.

Q: What is Jacqueline Phillips's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

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: August 09, 2026.

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About Jacqueline Phillips Ms, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE PHILLIPS MS, ATC (NPI 1073912895) is an individual athletic trainer provider in Grand Rapids, Michigan, licensed in Michigan (2601002859) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1073912895

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameJACQUELINE PHILLIPSCredential: MS, ATC

Location Address2770 E BELTLINE AVE NEGrand Rapids, MI 49525-8614

Mailing Address2770 E Beltline Ave NeGrand Rapids, MI 49525-8614 · (616) 267-8860 · Fax (616) 267-8442

Phone(616) 267-8860

Fax(616) 267-8442

Sole ProprietorNo

Enumeration DateAugust 18, 2014

Last NPPES UpdateNovember 28, 2025

NPPES CertifiedNovember 28, 2025

✔ NPI 1073912895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MI · 2601002859

Definition

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.

2770 E BELTLINE AVE NE, Grand Rapids, MI 49525

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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