Individual
DOUGLAS D GROVERGRYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8042 WATTS ROAD, MADISON, WI 53719-0001
(608) 261-1761
Mailing address
8042 WATTS ROAD, MADISON, WI 53719-0001
(608) 261-1761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9516-024
WI
2255A2300X
Athletic Trainer
Primary
268-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268-039
ATHLETIC TRAINER
WI
01
—
9516-024
PT
WI
Enumeration date
07/17/2006
Last updated
09/11/2025
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