Healthcare Provider Details

I. General information

NPI: 1215333885
Provider Name (Legal Business Name): CHRISTINA GRELK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 W STONEBROOK DR
MT PLEASANT IA
52641-2686
US

IV. Provider business mailing address

1335 NW BROAD ST
MURFREESBORO TN
37129-4428
US

V. Phone/Fax

Practice location:
  • Phone: 319-385-9145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number01644
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: