Individual
ASHLEY GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
M- 1816 QUARTERMASTER ST, FORT BRAGG, NC 28310-7007
(423) 737-4633
Mailing address
M-1815 QUARTERMASTER ST, FORT BRAGG, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2018
Last updated
08/31/2022
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