Kristi L Grimsley is a Pediatrics in Lufkin, Texas. Kristi L Grimsley practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kristi L Grimsley is 1790909778. The last update date is 2007-09-19.
Kristi L Grimsley's current location address is 4101 S Medford Dr, Lufkin, Texas. You can contact this provider via phone number 9366391141 and fax number 9366335695. The mailing address for Kristi L Grimsley is 4101 S Medford Dr, Lufkin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristi L Grimsley |
|---|---|
| Address | 4101 S Medford Dr, Lufkin, Texas |
| Phone Number | 9366391141 |
| Fax Number | 9366335695 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1790909778 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-09-19 |
Provider Mailing Address Detail
| Address | 4101 S Medford Dr |
|---|---|
| City | Lufkin |
| State | Texas (TX) |
| Post Code | 759015633 |
| Phone Number | 9366391141 |
| Fax Number | 9366335695 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 1099075 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83392T | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Kristi L Grimsley by the Centers for Medicare & Medicaid Services (CMS)?
The Kristi L Grimsley has been assigned the NPI (National Provider Identifier) 1790909778. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kristi L Grimsley?
The Kristi L Grimsley is physically situated at 4101 S Medford Dr, in the city of Lufkin, state of TX, with the postal code 759015633.
What is Kristi L Grimsley's area of expertise and its corresponding taxonomy classification?
The Kristi L Grimsley's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790909778 to Kristi L Grimsley?
The Centers for Medicare & Medicaid Services originally issued the 1790909778 to Kristi L Grimsley on 2007-04-12.
As of what date were the details pertaining to Kristi L Grimsley last refreshed?
The information related to the Kristi L Grimsley, including its address, specialty, and other relevant details, was last updated on 2007-09-19.
NPI Number: 1528061710
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