Doctor Name: | MARK GRAYSON |
NPI Number: | 1083023949 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT,DPT |
License Number: | 7467 |
Business Practice Address: | 690 Medical Park Dr Aiken, SC - 298015385 |
Business Phone Number: | 8036488344 |
Business Fax Number: | 8036481631 |
Mailing Address: | 661 Hunts Grove Rd, NORTH AUGUSTA |
State: | SC |
Postal Code: | 298609360 |
Phone Number: | 8036342814 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2014 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 7467 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |