Provider Demographics
NPI:1073182929
Name:GRUBBS, HUNTER BEAU (DPT)
Entity Type:Individual
Prefix:DR
First Name:HUNTER
Middle Name:BEAU
Last Name:GRUBBS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 S SOUTH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-4599
Mailing Address - Country:US
Mailing Address - Phone:336-786-2033
Mailing Address - Fax:
Practice Address - Street 1:314 S SOUTH ST STE 200
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-4599
Practice Address - Country:US
Practice Address - Phone:336-786-2033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP20087208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation