Individual
MR. LARRY WAYNE GROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
149 HART ST, 82D MEDICAL GROUP - SGH, SHEPPARD AFB, TX 76311-3477
(940) 676-4274
Mailing address
1105 BLUE JAY ST, BURKBURNETT, TX 76354-2859
(940) 569-1095
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
AT00007
MO
171000000X
Military Health Care Provider
PT01648
MO
Other
Enumeration date
06/29/2007
Last updated
09/11/2025
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