NPI 1104279660

Kathleen Grinvalsky, ATC

Practitioner Athletic Trainer Portland, ME

Practice location

Address: 1265 Washington Ave, Portland, ME 04103-3644
Phone: (207) 318-8788

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT616 (ME)

Other Specialist/Technologist providers in Maine →

Registry record

NPI: 1104279660
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2016
Record last updated: 20 Jul 2016

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.