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NPI Code Detail

MEDICARE: LINDSY GRIGSBY

MEDICARE: LINDSY GRIGSBY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1389487TX

General Provider Information

NPI Number : 1689430084
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSY GRIGSBY
Provider Business Mailing Address
First Line : 5407 NEW COPELAND RD STE 100
Second Line :
City : TYLER
State : TX
Zip : 75703-3997
Country : US
Telephone Number : 678-837-7176
Fax Number : 404-777-1311
Provider Business Practice Location Address
First Line : 5407 NEW COPELAND RD STE 100
Second Line :
City : TYLER
State : TX
Zip : 75703-3997
Country : US
Telephone Number : 903-630-7204
Fax Number : 903-630-7205
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2024
Last Update Date : 05/19/2025

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Directions to “ LINDSY GRIGSBY ” Practice Location

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