| Doctor Name: | MRS. CLEON SHERRILL GROOMS |
| NPI Number: | 1013992577 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 5501007019 |
| Business Practice Address: | 301 W Michigan Ave Clinton, MI - 492369502 |
| Business Phone Number: | 5174382169 |
| Business Fax Number: | 5174231135 |
| Mailing Address: | Po Box 224, CLINTON |
| State: | MI |
| Postal Code: | 492360224 |
| Phone Number: | 5174382169 |
| Fax Number: | 5174231135 |
| NPI Enumeration Date: | 12/07/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | 5501007019 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |