- Practice location
- 1265 Washington Ave, Portland, ME 04103-3644
- Phone
- 207-318-8788
- Fax
- —
- Last updated
- July 20, 2016
Kathleen Grinvalsky is a Specialist/Technologist, Athletic Trainer based in Portland, ME. Kathleen Grinvalsky practices in Portland, ME and has the professional credentials of ATC. The NPI Number for Kathleen Grinvalsky is 1104279660 and holds a License No. AT616 (ME). The current practice location address for Kathleen Grinvalsky is 1265 Washington Ave, Portland, ME 04103-3644 and can be reached out via phone at 207-318-8788.
Provider Profile Details
- NPI Number
- 1104279660
- Provider Name
- Kathleen Grinvalsky
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1265 Washington Ave, Portland, ME 04103-3644
- Phone Number
- 207-318-8788
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 20, 2016
- Last Update Date
- July 20, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1265 Washington Ave
Portland, ME 04103-3644 - City
- Portland
- State
- Maine
- Zip
- 04103-3644
- Phone Number
- 207-318-8788
Provider Business Mailing Address Details
- Address
- 1265 Washington Ave
Portland, ME 04103-3644 - City
- Portland
- State
- ME
- Zip
- 04103-3644
- Phone Number
- 207-318-8788
License Information
- License Number
- AT616
- License State
- ME
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Portland, ME
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- Michael J Metcalfe, MS, ATC, CSCS, CESSpecialist/Technologist, Athletic Trainer · NPI 1235451311
- Miss Audrey J Mckenzie, ATCSpecialist/Technologist, Athletic Trainer · NPI 1750426052
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Frequently Asked Questions
What is the NPI number of Kathleen Grinvalsky, ATC?
The NPI number of Kathleen Grinvalsky, ATC is 1104279660. It was assigned on July 20, 2016 and is currently active in the NPPES registry.
What is the specialty of Kathleen Grinvalsky, ATC?
Kathleen Grinvalsky, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number AT616.
Where does Kathleen Grinvalsky, ATC practice?
The practice location is 1265 Washington Ave, Portland, ME 04103-3644. The office can be reached at 207-318-8788 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104279660 directly on the NPPES registry website.