Grimm, Beth

Grimm, Beth is an individual health care provider with primary practice located at 1807 2Nd St Ste 101 , Santa Fe NM 87505-3510. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Grimm, Beth can be contacted via phone (505) 982-8561.

Contact Information

Primary practice address
1807 2Nd St Ste 101 Santa Fe NM 87505-3510
Phone: (505) 982-8561
Fax: (505) 989-1740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1291 New Mexico

Profile Details

NPI number 1245381417
LBN Legal business name Grimm, Beth
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245381417 NPPES
New Mexico MEDICAID 57235006

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