Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Polazzo

Individual provider Athletic Trainer · NPI 1801290309

Anthony Polazzo is an Athletic Trainer in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

2300 Plymouth Ave SE
Grand Rapids, MI 49506-5225
Phone: (616) 574-5828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1311 Chicago Ave, Evanston, IL 60201-4760 — (715) 923-4481

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2601001008 (MI)

Record details

NPI number1801290309
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 14, 2014
Last updated in NPPESMarch 27, 2018

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