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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHNNY ALLEN GROOMS

Active Sole Proprietor

MR. JOHNNY ALLEN GROOMS is a Athletic Trainer healthcare provider located in PARAGOULD, Arkansas. NPI 1154705119 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PARAGOULD, AR

Registration Details

NPI Number
1154705119
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2015 (11.043043046817 yrs)
Last Updated
Jul 19, 2015
License
AT284 (AR)
Sole Proprietor
Yes

Practice Information

Address
1808 CLOVERDALE ST
PARAGOULD, AR, 724505894
Browse AR providers · Browse ZIP 72450
Phone
8704769698
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in PARAGOULD, AR

Name Credential NPI
MR. HEATH ALLEN LAMB MS, ATC, LAT 1043374374
MR. DANIEL AARON MASSIRER LAT, ATC 1013304203
BRIAN GENE GRIFFITH 1043740947
TAYLOR SHANN MS, AT, ATC 1396334819
MRS. ANNAH CYNCLAIRE HALFORD MAT, LAT, ATC 1548019292
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.