MR. KEVIN L. BLOSSER (NPI# 1346328663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346328663 |
| Entity Type | Individual |
| Full Name | MR. KEVIN L. BLOSSER |
| Credential | MS ATC |
| Practice Address |
5483 Gratiot Rd Saginaw MI 48638-6037 |
| Mailing Address |
1437 Kingston Dr Saginaw MI 48638-5478 |
| Practice Telephone | 9897995557 |
| Practice Fax Number | 9897992840 |
| Mailing Telephone | 9897999744 |
| Mailing Fax Number | 9897992840 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5483 GRATIOT RD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48638-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114986858 | James J Jesko | Orthopaedic Surgery | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-03-21 |
| 1376193532 | Brandon Robert Worden | Physical Therapist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2019-09-18 |
| 1730527631 | Jeffrey Donald Osborne | Orthopaedic Surgery | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2013-06-13 |
| 1134482532 | Mark Jeffrey Bullock | Podiatrist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2012-06-20 |
| 1295862415 | Cheryl Ann Howard | Physical Therapist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2007-02-27 |
| 1770680753 | Greta L. Dijak | Physical Therapist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-09-20 |
| 1780615708 | Saginaw Valley Bone & Joint Center PC | Specialist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-07-06 |
| 1073573754 | Danielle C Duncan | Specialist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-03-25 |
| 1942260021 | Michael J Wolohan | Specialist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-03-24 |
| 1932168341 | Kurt A Menapace | Specialist | 5483 Gratiot Rd, Saginaw, MI 48638-6037 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604547 | Kristina Susan Spohn | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2018-10-12 |
| 1538686803 | Jennifer A Nickels | Behavioral Analyst | 300 Saint Andrews Rd Ste 409, Saginaw, MI 48638 | 2017-08-27 |
| 1013209634 | Ryan D Michelson Dds Plc | Dentist | 65 North Frost Drive, Saginaw, MI 48638 | 2011-05-16 |
| 1477645539 | Mark Walter Pankonin | Family Medicine | 1600 Midland Rd, Saginaw, MI 48638 | 2006-09-28 |
| 1386735579 | John Edwin Galsterer | Dentist | 5605 Colony Drive North, Saginaw, MI 48638 | 2006-09-27 |
| 1699873075 | Phadej Keopunna | Urology | 70 North Frost Dr, Saginaw, MI 48638 | 2006-09-20 |
| 1790881902 | Jeffrey John Dwan | Dentist | 595 N Center Rd, Ste 5, Saginaw, MI 48638 | 2006-09-15 |
| 1396705364 | Christina Marie Barba | Physical Therapist | 4884 Gratiot Avenue, Suite 19, Saginaw, MI 48638 | 2006-03-24 |
| 1538136353 | Joseph E Oesterling | Specialist | 1740 Midland Rd, Saginaw, MI 48638 | 2006-03-01 |
| 1558916650 | Kayela Lynn Oberloier | Behavior Technician | 300 Saint Andrews Rd Ste 408, Saginaw, MI 48638 | 2019-08-06 |
| Find all providers in zip 48638 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052027 | Brianna Redmond | Specialist/Technologist | 2145 Sunset Ln, Saginaw, MI 48604-2443 | 2020-10-31 |
| 1922526706 | Mikayla Wilke | Specialist/Technologist | 5355 Mccarty Rd, Saginaw, MI 48603-9656 | 2017-08-31 |
| 1518419746 | Derek Prichard | Specialist/Technologist | 4170 Green Isle Way Apt 2, Saginaw, MI 48603-1427 | 2016-11-04 |
| 1285181222 | Clyde Anderson IIi | Specialist/Technologist | 2103 Campus Village Ave Apt 3, Saginaw, MI 48604-8805 | 2016-09-07 |
| 1144613274 | Jacqueline Sue Swanton | Specialist/Technologist | 1627 Barnard St, Saginaw, MI 48602-4904 | 2015-03-13 |
| 1821487349 | Eric Neuenfeldt | Specialist/Technologist | 4228 Harbour Towne Dr Apt 2, Saginaw, MI 48603-1443 | 2015-01-21 |
| 1336538131 | Adam Gutierrez | Specialist/Technologist | 2122 Ring St, Saginaw, MI 48638-6642 | 2015-01-16 |
| 1598154304 | Kaitlyn Junelle Pitre | Specialist/Technologist | 3375 Bauer Dr, Saginaw, MI 48604-2238 | 2015-01-16 |
| 1093082570 | Naphuab Lao | Specialist/Technologist | 3665 Bay Rd., Saginaw, MI 44603 | 2011-11-28 |
| 1891092615 | Landon Lee Lalonde | Specialist/Technologist | 2400 Weiss St, Saginaw, MI 48602-3858 | 2011-02-14 |
| Find all providers in SAGINAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.