NPI 1043087869

Tyler Andrew Gray, CPO

Practitioner Orthotist Martinsville, VA

Practice location

Address: 445 Commonwealth Blvd E, Martinsville, VA 24112-2086
Phone: (276) 634-5690
Mailing address: 280 Booth Rd, Hardy, VA 24101-5104

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CPO04879 (VA)

Other Orthotist providers in Virginia →

Prosthetist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CPO04879 (VA)

Other Prosthetist providers in Virginia →

Registry record

NPI: 1043087869
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2023
Record last updated: 11 Dec 2023

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.