NPI 1083660484
Ronald Eugene Grossi, KTCEP
Practice location
- Address
- 510 E Stoner Ave, Shreveport, LA 71101-4243
- Phone
- (318) 424-6053
- Mailing address
- 240 Ockley Dr, Shreveport, LA 71105-3025
Registered specialties
Kinesiotherapist
Primary
Registry record
- NPI
- 1083660484
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 May 2006
- Record last updated
- 2 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.