JUSTIN GREVENGOED

SIOUX CITY, IA
NPI1174391288
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2023-12-18
Last Update Date2023-12-18
Business Address
JUSTIN GREVENGOED
915 PIERCE ST
SIOUX CITY, IA 51101-1031
Phone number: 712-234-8760
Mailing Address
JUSTIN GREVENGOED
1394 2ND AVE SW
LE MARS, IA 51031-2712
Phone number:
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