Grimsley, Kristi L
Grimsley, Kristi L is an sole proprietor health care provider with primary practice located at 123 Medical Dr Ste B , Palestine TX 75801-8508. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Grimsley, Kristi L can be contacted via phone (903) 723-3602.Contact Information
Primary practice address
123 Medical Dr Ste B
Palestine TX 75801-8508
Phone: (903) 723-3602
Fax: (903) 731-9573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 1099075 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1099075 | Texas |
Profile Details
| NPI number | 1790909778 |
|---|---|
| LBN Legal business name | Grimsley, Kristi L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jun 12th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790909778 | NPPES |
| Texas | Other | 83392T | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 108015202 | BLUE CROSS BLUE SHIELD |
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