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
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3595
- Phone
- (208) 995-7842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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