Individual
MORGAN GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 S CORY LN, BLOOMINGTON, IN 47403-2848
(812) 318-2225
Mailing address
1320 S CORY LN, BLOOMINGTON, IN 47403-2848
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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