Shane Grayson, PTA

NPI #1295143147 in Twin Falls, Idaho

Provider Information

NPI Number
1295143147
Entity Type
Individual
Name
Shane Grayson, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jul 23, 2014
Last Updated
Jul 23, 2014

Practice Location

Address
182 FALLS AVE W
State
Idaho
ZIP Code
83301-3595
Phone
(208) 995-7842

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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