Individual
TIMOTHY GRIMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8539 S REDWOOD RD STE C, WEST JORDAN, UT 84088-5250
(801) 919-4657
Mailing address
1576 W 8295 S, WEST JORDAN, UT 84088-8231
(801) 381-9481
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
2215
UT
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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