IndividualActive
Suzann Grigsby, COTA
NPI 1417209073 · Pediatric Skilled Nursing Facility · Louisville, KY
Provider details
- NPI number
- 1417209073
- Entity type
- Individual
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 224200000X (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
303 N Hurstbourne Pkwy
Suite 200
Louisville, KY 40222-5185
Phone: (502) 412-5847
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 320543
Flint, MI 48532-0010
Registry dates
- Enumerated
- 2012-10-08
- Last updated
- 2012-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.