Individual
MR. JOHN DAVID GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, CERT MDT
Contact information
Practice address
7730 WOLF RIVER BLVD, SUITE 109, GERMANTOWN, TN 38138-1708
(901) 522-6671
(901) 522-6715
Mailing address
7730 WOLF RIVER BLVD, SUITE 109, GERMANTOWN, TN 38138-1708
(901) 522-6671
(901) 522-6715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6639
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0723280001
PALMETTO
TN
01
—
4042227
BLUE CROSS
TN
01
—
620819926
BCBS
MS
01
—
7753371
AETNA
TN
Enumeration date
05/24/2005
Last updated
10/18/2007
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