Individual
DR. TERRY LEE GRINDSTAFF JR.
Active
Individual
DR. TERRY LEE GRINDSTAFF JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305204077
VA
225100000X
Physical Therapist
Primary
2904
NE
2255A2300X
Athletic Trainer
0126000725
VA
2255A2300X
Athletic Trainer
334
NE
2255A2300X
Athletic Trainer
555
TN
Other
Enumeration date
03/23/2006
Last updated
09/13/2011
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