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Individual

MRS. ASHLEY MARIE GRENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC, CA

Contact information

Practice address
121 MAIN ST N, HERREID, SD 57632-2115
(605) 437-2252
(605) 437-2508
Mailing address
31406 117TH ST, MOUND CITY, SD 57646-6402
(605) 216-7411
(605) 437-2508

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0363
SD

Other

Enumeration date
09/02/2013
Last updated
03/19/2014
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