NPI 1013588169

Vanessa Anne Gray, PTA

Practitioner Physical Therapy Assistant Meridian, ID

Practice location

Address: 5453 N Mitchum Ave, Meridian, ID 83646-0004
Phone: (503) 869-6843

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 5287 (ID)

Other Physical Therapy Assistant providers in Idaho →

Registry record

NPI: 1013588169
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2021
Record last updated: 8 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.