Grady T Slack, DPT
Physical Therapist in Rochester, NY. Individual provider (NPI-1).
NPI number1194771345
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1194771345
- Entity type
- Individual (NPI-1)
- Name
- Mr. Grady T Slack
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 16909 | NY | Yes |
Practice location
1 Whipple LaneRochester, NY 14622
Phone 585-338-3070 · Fax 585-336-5014
Mailing address
480 Granger CircleWebster, NY 14580
Phone 585-787-0057
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