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Individual
KRISTI L GRIMSLEY
Active
Individual
KRISTI L GRIMSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1099075
TX
2251P0200X
Pediatric Physical Therapist
1099075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108015202
—
TX
01
—
83392T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/12/2007
Last updated
06/12/2024
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