Doctor Name: | KENA A GRIMSLEY |
NPI Number: | 1861669350 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 9084 |
Business Practice Address: | 138 Magnolia Dr Smithfield, NC - 275774758 |
Business Phone Number: | 9199896594 |
Business Fax Number: | 9199896532 |
Mailing Address: | 110 Lake Point Dr, CLAYTON |
State: | NC |
Postal Code: | 275275218 |
Phone Number: | 9199896594 |
Fax Number: | 9199896532 |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |