Individual
ALISHA GRISBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11605 COPPER TRAILS LN, OKLAHOMA CITY, OK 73170-4486
(405) 496-0770
Mailing address
11605 COPPER TRAILS LN, OKLAHOMA CITY, OK 73170-4486
(405) 496-0770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
640
OK
2255A2300X
Athletic Trainer
Primary
AT6846
TX
Other
Enumeration date
01/27/2016
Last updated
09/30/2016
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