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Contact Information

TREVOR GRIMBLEBY
500 GLASS LN STE H
MODESTO, CA95356-9265
 Phone: 209-404-0152
 Fax: 209-408-8459
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for TREVOR GRIMBLEBY · (Male)

NPI # 1932907532
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2025
Last updated 04/21/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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