-- SHANE GRAYSON -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1295143147- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 182 FALLS AVE W, TWIN FALLS, ID, 833013595
- Phone
- (208) 995-7842
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ID #PTA-3681