Individual
KRYSTOPHER GRASMUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 E MAIN ST, NORTON, MA 02766-2436
(508) 285-5533
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436
(857) 444-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25113
PT LICENSE
MA
Enumeration date
11/17/2020
Last updated
11/17/2020
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