Grayson Benedict
Individual provider Active NPI Athletic Trainer · Redfield, IA
NPI 1215577879 · NPPES record last updated Jan 13, 2020
Key facts
- NPI
- 1215577879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 1113 Grant St
Redfield, IA 50233-7706 - Phone
- (515) 494-8462
- NPI assigned
- Jan 13, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
1113 Grant St
Redfield, IA 50233-7706
Mailing address
1113 Grant St
Redfield, IA 50233-7706
Phone (515) 494-8462
Other providers in Redfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.