Jason Grotts

NPI #1982139010 in Pana, Illinois

Provider Information

NPI Number
1982139010
Entity Type
Individual
Name
Jason Grotts
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Apr 26, 2017
Last Updated
Jul 30, 2019

Practice Location

Address
107 WELLS ST
City
Pana
ZIP Code
62557-1361
Phone
(217) 565-9530

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Specialist/Technologist - Athletic TrainerAthletic Trainer

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