GRACE HEADY PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1104708445- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 815 TRIPLETT ST, OWENSBORO, KY, 423033564
- Phone
- (270) 683-4517
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: KY #AO4687