Individual
MIKAYLA GRINDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2323 SW 35TH PL, APT 5H, GAINESVILLE, FL 32608-3256
(812) 870-6309
Mailing address
2323 SW 35TH PL, APT 5H, GAINESVILLE, FL 32608-3256
(812) 870-6309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4281
FL
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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