Doctor Name: | JEREMY CASH GRADDY |
NPI Number: | 1427443829 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2014023789 |
Business Practice Address: | 864 E Us Hwy 60 Suite A Monett, MO - 65708 |
Business Phone Number: | 4176351185 |
Business Fax Number: | 4176351187 |
Mailing Address: | Po Box 9163, SPRINGFIELD |
State: | MO |
Postal Code: | 65801 |
Phone Number: | 4178894800 |
Fax Number: | 4178890980 |
NPI Enumeration Date: | 04/02/2015 |
NPI Last Update Date: | 04/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2014023789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |