Tylor Paul Grant, PT, DPT
Physical Therapist, Orthopedic in Phoenix, AZ. Individual provider (NPI-1).
NPI number1982197646
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1982197646
- Entity type
- Individual (NPI-1)
- Name
- Tylor Paul Grant
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2018
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | LPT-30965 | AZ | Yes |
| 225100000X | Physical Therapist | – | WI |
Practice location
20045 N 19th Ave Bldg 8Phoenix, AZ 85027-4267
Phone 623-594-9034
Mailing address
4545 W Beardsley Rd Apt 1027Glendale, AZ 85308-5012
Phone 920-296-0226
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