Individual
ASATO J GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 11TH ST APT 306, TUSCALOOSA, AL 35401-3182
(602) 697-7076
Mailing address
708 11TH ST APT 306, TUSCALOOSA, AL 35401-3182
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/23/2023
Last updated
11/23/2023
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