Individual
HAYDEN JOE GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5100 FRANKLIN AVE STE C, WACO, TX 76710-6922
(254) 732-5981
(254) 776-2667
Mailing address
5100 FRANKLIN AVE STE C, WACO, TX 76710-6922
(254) 732-5981
(254) 776-2667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
TX
Enumeration date
09/14/2020
Last updated
09/14/2020
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