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

Nathan Reidar Holst-Grubbe

Individual provider Athletic Trainer · NPI 1790547990

Nathan Reidar Holst-Grubbe is an Athletic Trainer in Lewiston, Maine. Practices as a sole proprietor. Licensed in Maine.

Licensed in
ME
In the registry since
2024

Practice location Address checks out

141 Russell St
Lewiston, ME 04240-6024
Phone: (475) 233-4445
Fax: (207) 755-3445
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000054326 (ME)

Record details

NPI number1790547990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

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