Individual
KARLA GRIMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2 E ASH ST, HERINGTON, KS 67449-1662
(615) 896-6400
Mailing address
1577 S 500 RD, COUNCIL GROVE, KS 66846-8382
(620) 767-5846
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00129
KS
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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