Individual
ROBERT JAMES GRIMES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 LINE DR, DES MOINES, IA 50309-4640
(515) 288-7554
Mailing address
1 LINE DR, DES MOINES, IA 50309-4640
(515) 288-7554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00532
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00532
LISCENSE ATHLETIC TRAINER
IA
Enumeration date
03/14/2006
Last updated
07/08/2007
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