Breanna Latisha Grant, DPT
Physical Therapist in Jasper, TN. Individual provider (NPI-1).
NPI number1831963172
StatusActive
Last updated in NPPESNov 3, 2026
Details
- NPI
- 1831963172
- Entity type
- Individual (NPI-1)
- Name
- Breanna Latisha Grant
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2023
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | CP061919T | TN | Yes |
| 225100000X | Physical Therapist | CP052818T | VA | |
| 225100000X | Physical Therapist | CP056126T | KY | |
| 225100000X | Physical Therapist | CP043140T | TX | |
| 225100000X | Physical Therapist | 12126 | SC | |
| 225100000X | Physical Therapist | CP031396T | GA |
Practice location
4150 Main St Ste 101Jasper, TN 37347-3446
Phone 423-942-8073
Mailing address
1200 Corporate Dr Ste 400Hoover, AL 35242-5424
Phone 423-238-8995
Other practice locations
2033 Colonial Ave Sw Ste 138
Roanoke, VA 24015-3210
Roanoke, VA 24015-3210
Phone 540-466-3981 · Fax 540-739-7476
130 Forum Dr Ste 13
Columbia, SC 29229-7943
Columbia, SC 29229-7943
Phone 803-509-6880
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Other Physical Therapist providers in Jasper, TN
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- Karen D Pryor, PT, DPT, PH.DNPI 1952395907
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All 14 Physical Therapist providers in Jasper · All 139 providers in Jasper
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