Individual
MR. TODD MARTIN GROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
1115 S COTTONWOOD ST, NORTH PLATTE, NE 69101-6108
(308) 535-7456
Mailing address
3411 W E ST, NORTH PLATTE, NE 69101-4874
(308) 535-7456
(308) 696-8637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
242
NE
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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