Mr. Grant Stovall
Physical Therapist - Sports
Lubbock Sports Medicine Associates 4110 22nd Pl
Lubbock
, Texas 79410
Mr. Grant Stovall
Physical Therapist - Sports
Lubbock Sports Medicine Associates 4110 22nd Pl
Lubbock
, Texas 79410
(806) 790-1186
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Mr. Grant Stovall
- 4110 22nd Pl
- Lubbock, TX
- Zip : 79410-1122
- Phone : (806) 790-1186
Second Address
- Mr. Grant Stovall
- Lubbock Sports Medicine Associates 4110 22nd Pl
- Lubbock, TX
- Zip : 79410
- Phone : (806) 792-4329
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 1123412 | TX |
National Provider Identifier
| NPI | 1528031093 |
|---|---|
| Provider Name | Mr. Grant Stovall |
| First Address | Lubbock, TX 79410-1122 |
| Second Address | Lubbock, TX 79410 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2006 |
| Last Update Date | 22/11/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.