NPI 1861580516

Gina Granstaff

Practitioner Physical Therapy Assistant Lebanon, TN

Practice location

Address: 1420 W Baddour Pkwy, Lebanon, TN 37087-1510
Phone: (615) 443-9036
Fax: (615) 443-9037
Mailing address: 514 Tims Way Dr, Lebanon, TN 37087-0220

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA0000002723 (TN)

Other Physical Therapy Assistant providers in Tennessee →

Registry record

NPI: 1861580516
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2006
Record last updated: 8 Jul 2007

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.