Nathan S Gravley, PT
Physical Therapist in Payson, UT. Individual provider (NPI-1).
NPI number1356566020
StatusActive
Last updated in NPPESApr 22, 2019
Details
- NPI
- 1356566020
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nathan S Gravley
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 16, 2007
- Last updated
- Apr 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT5991 | ID | Yes |
| 225100000X | Physical Therapist | 313219-2401 | UT |
Practice location
1000 Highway 6Payson, UT 84651-1600
Phone 801-465-7070 · Fax 801-465-7001
Mailing address
3820 Crestwood LnIdaho Falls, ID 83404-4979
Phone 208-552-7700
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All 11 Physical Therapist providers in Payson · All 440 providers in Payson
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