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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRADY GARDNER, DPT

Active

GRADY GARDNER, DPT is a Physical Therapy Assistant healthcare provider located in BOONEVILLE, Mississippi. NPI 1245065374 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BOONEVILLE, MS

Registration Details

NPI Number
1245065374
Provider Type
Individual
Gender
Male
NPI Issued
Sep 6, 2024 (1.9157759816661 yrs)
Last Updated
Sep 6, 2024
License
7836 (MS)

Practice Information

Address
413 N 2ND ST
BOONEVILLE, MS, 388292031
Browse MS providers · Browse ZIP 38829
Phone
6624804006
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in BOONEVILLE, MS

Name Credential NPI
MR. BRADLEY JEFF STEPHENSON PT 1134266901
JASON P YARBER DPT 1962705871
AARON FORD 1295110518
JULIA KATIE SHOTTS PT, DPT 1902386857
KURT HOWARD ROBBINS ATC 1447869391
CORA G SCOTT DPT 1114791381
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.