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

Mr. Maynor Antonio Grijalva, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1659038495

Mr. Maynor Antonio Grijalva, MS, LAT, ATC is an Athletic Trainer in Lynn, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2021.

Licensed in
MA
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1000 Western Ave
Lynn, MA 01905-2655
Phone: (978) 880-5178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3877 (MA)

Record details

NPI number1659038495
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedNovember 28, 2021
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

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