NPI 1154705119

Johnny Allen Grooms

Practitioner Athletic Trainer Paragould, AR

Practice location

Address: 1808 Cloverdale St, Paragould, AR 72450-5894
Phone: (870) 476-9698

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT284 (AR)

Other Specialist/Technologist providers in Arkansas →

Registry record

NPI: 1154705119
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2015
Record last updated: 19 Jul 2015

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.