Jason Grotts
Jason Grotts is a Student in an Organized Health Care Education/Training Program in Pana, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
107 Wells StPana, IL 62557-1361
Phone: (217) 565-9530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1982139010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 26, 2017 |
| Last updated in NPPES | July 30, 2019 |
| Mailing address | 107 Wells St, Pana, IL 62557-1361 |
Other providers in Pana
-
Tiffany Sims
209 W 9th St, Pana, IL 62557-1796 · (217) 562-1510