Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Grevengoed

Individual provider Athletic Trainer · NPI 1174391288

Justin Grevengoed is an Athletic Trainer in Sioux City, Iowa. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

915 Pierce St
Sioux City, IA 51101-1031
Phone: (712) 234-8760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1174391288
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address1394 2nd Ave Sw, Le Mars, IA 51031-2712

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