Grimm, Hayden Joe

Grimm, Hayden Joe is an sole proprietor health care provider with primary practice located at 5100 Franklin Ave Ste C , Waco TX 76710-6922. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Grimm, Hayden Joe can be contacted via phone (254) 732-5981.

Contact Information

Primary practice address
5100 Franklin Ave Ste C Waco TX 76710-6922
Phone: (254) 732-5981
Fax: (254) 776-2667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X Texas

Profile Details

NPI number 1477168706
LBN Legal business name Grimm, Hayden Joe
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2020
Last updated Sep 14th, 2020 - about 5 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 1477168706 NPPES
Texas Other PENDING PENDING

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