Individual provider · Type 1 NPI

Shannon Nicole Kaye Ortiz, ATC

Athletic Trainer · Clinton Township, MI

NPI number 1497614168 Active

Practice location

15520 19 Mile Rd Ste 450
Clinton Township, MI 48038-6332

Call (586) 416-2000 Map

Fax (586) 416-2013

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X2601003228 (MI)

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 advanc…

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About NPI 1497614168

Shannon Nicole Kaye Ortiz, ATC's National Provider Identifier is 1497614168, issued on Jan 19, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Clinton Township, MI. The record was last updated on May 7, 2026.