person
Mr. Larry Wayne Groves, PT,ATC
Military Health Care Provider in Sheppard Afb, Texas
NPI 1457558751

Larry Wayne Groves is a Military Health Care Provider based in Burkburnett, TX. Larry Wayne Groves practices in Sheppard Afb, TX and has the professional credentials of PT,ATC. The NPI Number for Larry Wayne Groves is 1457558751 and holds a License No. PT01648 (Texas).

The current practice location address for Larry Wayne Groves is 149 Hart St, Sheppard Afb, TX and can be reached out via phone at 940-676-4274.

Location: 149 Hart St, Sheppard Afb, TX, 76354-2859
person
Provider Profile Details
NPI Number
1457558751
Provider Name
Larry Wayne Groves
Credential
PT,ATC
Provider Entity Type
Individual
Gender
Male
Address
149 Hart St, Sheppard Afb, TX, 76354-2859
Phone Number
940-676-4274
Fax Number
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
149 Hart St
City
State
Zip
76311-3477
Phone Number
940-676-4274
Fax Number
person
Provider Business Mailing Address Details
Address
149 Hart St
City
State
Zip
76311-3477
Phone Number
940-676-4274
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
PT01648 (Missouri)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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