Whalio Doctors

NPI 1023350865

Damon John Grandy, PTDPT

Practitioner Physical Therapist Prescott, AZ

Practice location

Address
3117 Stillwater Dr, Prescott, AZ 86305-7164
Phone
(928) 442-0005
Mailing address
7159 S 233rd Ave, Buckeye, AZ 85326-8736

Registered specialties (7)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 9200 (AZ)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2009024412 (MO)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PTH6368 (AL)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 3588 (HI)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-3025 (ID)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT-1455 (WY)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 4147 (NM)

Registry record

NPI
1023350865
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Mar 2013
Record last updated
19 Mar 2013

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.