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NPI Code Detail

MEDICARE: SASHA S GRIMMETT R-CEP

MEDICARE: SASHA S GRIMMETT R-CEP
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
1224Y00000XClinical Exercise Physiologist2001735OK

General Provider Information

NPI Number : 1851265458
Entity Type Code : Individual
Provider Name (Legal Business Name) : SASHA S GRIMMETT R-CEP
Provider Business Mailing Address
First Line : 19501 N PENNSYLVANIA AVE APT 202
Second Line :
City : EDMOND
State : OK
Zip : 73012-4803
Country : US
Telephone Number : 918-616-4435
Fax Number :
Provider Business Practice Location Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-613-5641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2025
Last Update Date : 10/06/2025

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Directions to “ SASHA S GRIMMETT R-CEP” Practice Location

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