Individual
BIANCA GRIMSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, OTC
Contact information
Practice address
215 CENTRAL AVE STE 201, LOUISVILLE, KY 40208-1451
(502) 637-7678
(502) 588-7589
Mailing address
215 CENTRAL AVE STE 201, LOUISVILLE, KY 40208-1451
(502) 637-7678
(502) 588-7589
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT1377
KY
246ZC0007X
Surgical Assistant
Primary
19-0605
—
Other
Enumeration date
11/02/2015
Last updated
05/18/2022
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