Provider Demographics
NPI:1043011059
Name:GRUBB, CARA (DPT)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:GRUBB
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:LEIGH
Other - Last Name:DELP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:510 W RIDGE RD STE L
Mailing Address - Street 2:
Mailing Address - City:WYTHEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24382-1093
Mailing Address - Country:US
Mailing Address - Phone:276-228-4444
Mailing Address - Fax:
Practice Address - Street 1:510 W RIDGE RD STE L
Practice Address - Street 2:
Practice Address - City:WYTHEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24382-1093
Practice Address - Country:US
Practice Address - Phone:276-228-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305209474225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist