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Larry Wayne Groves, PT, ATC

Military Health Care Provider in Sheppard Afb, TX. Individual provider (NPI-1).

NPI number1457558751
StatusActive
Last updated in NPPESSep 11, 2025

Details

NPI
1457558751
Entity type
Individual (NPI-1)
Name
Mr. Larry Wayne Groves
Credential
PT, ATC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 29, 2007
Last updated
Sep 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171000000X Military Health Care ProviderAT00007MOYes
171000000X Military Health Care ProviderPT01648MO

Practice location

149 Hart St
82d Medical Group - Sgh
Sheppard Afb, TX 76311-3477

Phone 940-676-4274

Mailing address

1105 Blue Jay St
Burkburnett, TX 76354-2859

Phone 940-569-1095

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Other Military Health Care Provider providers in Sheppard Afb, TX

All 6 Military Health Care Provider providers in Sheppard Afb · All 124 providers in Sheppard Afb

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