Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GRANT STOVALL, ATC
ActiveMR. GRANT STOVALL, ATC is a Environmental Modification (OT) healthcare provider located in LUBBOCK, Texas. NPI 1528031093 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · LUBBOCK, TX
Registration Details
- NPI Number
- 1528031093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2006 (20.511367559685 yrs)
- Last Updated
- Nov 22, 2011
- Licenses
-
1123412 (TX)AT1516 (TX)
Practice Information
- Address
-
LUBBOCK SPORTS MEDICINE ASSOCIATES4110 22ND PLLUBBOCK, TX, 79410Browse TX providers · Browse ZIP 79410
- Phone
- 8067924329
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Athletic Trainer
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.