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

NATHAN REIDAR HOLST-GRUBBE

Active Sole Proprietor

NATHAN REIDAR HOLST-GRUBBE is a Athletic Trainer healthcare provider located in LEWISTON, Maine. NPI 1790547990 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LEWISTON, ME

Registration Details

NPI Number
1790547990
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2024 (2.5844884765811 yrs)
Last Updated
Jan 24, 2024
License
2000054326 (ME)
Sole Proprietor
Yes

Practice Information

Address
141 RUSSELL ST
LEWISTON, ME, 042406024
Browse ME providers · Browse ZIP 04240
Phone
4752334445
Fax
2077553445
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LEWISTON, ME

Name Credential NPI
MR. THOMAS STEPHEN BOURDON ATC 1023002243
MS. JENNIFER DIANE COLLINS ATC 1770548018
MR. MICHAEL NORMAND VERVILLE ATC 1912962952
MR. DENNIS MICHEAL RUSSELL ATC, NRP 1548323090
KATELYN DEZENZO ATC 1588095947
STEPHANIE TOWNSEND ATC 1336570670
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.