Mr. Maynor A Grijalva, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Lynn, Massachusetts
1659038495- Practice location
- 1000 Western Ave, Lynn, MA 01905-2655
- Phone
- 978-880-5178
- Fax
- —
- Last updated
- April 4, 2024
Maynor Antonio Grijalva is a Specialist/Technologist, Athletic Trainer based in Lynn, MA. Maynor Antonio Grijalva practices in Lynn, MA and has the professional credentials of MS, LAT, ATC. The NPI Number for Maynor Antonio Grijalva is 1659038495 and holds a License No. 3877 (MA). The current practice location address for Maynor Antonio Grijalva is 1000 Western Ave, Lynn, MA 01905-2655 and can be reached out via phone at 978-880-5178.
Provider Profile Details
- NPI Number
- 1659038495
- Provider Name
- Maynor Antonio Grijalva
- Credential
- MS, LAT, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1000 Western Ave, Lynn, MA 01905-2655
- Phone Number
- 978-880-5178
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 28, 2021
- Last Update Date
- April 4, 2024
- Certification Date
- April 4, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1000 Western Ave
Lynn, MA 01905-2655 - City
- Lynn
- State
- Massachusetts
- Zip
- 01905-2655
- Phone Number
- 978-880-5178
Provider Business Mailing Address Details
- Address
- 452 Western Ave
Lynn, MA 01904-3315 - City
- Lynn
- State
- MA
- Zip
- 01904-3315
- Phone Number
- 617-650-4854
License Information
- License Number
- 3877
- License State
- MA
- 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 Lynn, MA
View all Specialist/Technologist, Athletic Trainers in Lynn →- Erica Gagnon, MS, ATCSpecialist/Technologist, Athletic Trainer · NPI 1295870723
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- Samantha Noe, CSCS, ATCSpecialist/Technologist, Athletic Trainer · NPI 1730538083
- Taylor Dumas, LATCSpecialist/Technologist, Athletic Trainer · NPI 1326823626
- William DiamondSpecialist/Technologist, Athletic Trainer · NPI 1689180150
Frequently Asked Questions
What is the NPI number of Mr. Maynor A Grijalva, MS, LAT, ATC?
The NPI number of Mr. Maynor A Grijalva, MS, LAT, ATC is 1659038495. It was assigned on November 28, 2021 and is currently active in the NPPES registry.
What is the specialty of Mr. Maynor A Grijalva, MS, LAT, ATC?
Mr. Maynor A Grijalva, MS, LAT, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 3877.
Where does Mr. Maynor A Grijalva, MS, LAT, ATC practice?
The practice location is 1000 Western Ave, Lynn, MA 01905-2655. The office can be reached at 978-880-5178 (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 1659038495 directly on the NPPES registry website.