MR. Theddy Trece Geronimo Grumo PTA

  • NPI 1104452267
According to our database, the NPI number for MR. Theddy Trece Geronimo Grumo PTA is 1104452267 and activated since 4 years ago. MR. Theddy Trece Geronimo Grumo PTA is an individual provider who specializes in Physical Therapy Assistant, and the primary practice location is 5555 N Fresno St, Fresno, CA 93710. You can also contact MR. Theddy Trece Geronimo Grumo PTA via telephone number is (559) 430-8211. Provider NPI information was last updated on 03/19/2020.

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Overview of MR. Theddy Trece Geronimo Grumo PTA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/19/2020
  • Last updated: 03/19/2020

Primary Scrop of Practice

  • Taxonomy Code: 225200000X
  • Specialty: Physical Therapy Assistant
  • License Number: 50168
  • License State: CA

Provider Mailing Address

  • Address: 4560 Se International Way Ste 100
    Milwaukie, OR 97222
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 5555 N Fresno St
    Fresno, CA 93710
  • Phone: 559-430-8211
  • Fax:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Theddy Trece Geronimo Grumo PTA?
  • A: The npi number for MR. Theddy Trece Geronimo Grumo PTA is 1104452267.
  • Q: What are MR. Theddy Trece Geronimo Grumo PTA's specialties?
  • A: MR. Theddy Trece Geronimo Grumo PTA's specialties are Physical Therapy Assistant and different specialities.
  • Q: What is the medical license for MR. Theddy Trece Geronimo Grumo PTA?
  • A: The medical license number for MR. Theddy Trece Geronimo Grumo PTA is 50168 and issued in CA in USA.
  • Q: Where is MR. Theddy Trece Geronimo Grumo PTA practice location?
  • A: MR. Theddy Trece Geronimo Grumo PTA is practicing at 5555 N Fresno St, Fresno, CA 93710.
  • Q: How to contact MR. Theddy Trece Geronimo Grumo PTA?
  • A: You can contact MR. Theddy Trece Geronimo Grumo PTA via 559-430-8211.
Medicare Specialty
View all Specialties
Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
Pharmacy Technician
Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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