National Provider Identifier Database

TREVOR GRIMBLEBY
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

TREVOR GRIMBLEBY
500 GLASS LN STE H
MODESTO, CA95356-9265
Phone: 209-404-0152
Fax: 209-408-8459
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for TREVOR GRIMBLEBY

NPI Number 1932907532
Credentials
Entity Individual
Enumeration date 03/07/2025
Last updated 04/21/2026 - About 1 months ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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