Individual
KRISTA ROSE GRUHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
371 E BULTMAN AVE, FORT STEWART, GA 31314
(632) 834-2179
Mailing address
501 BURKE DR APT 718, HINESVILLE, GA 31313-3833
(631) 834-2179
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/03/2009
Last updated
08/09/2022
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