Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GRANT PANZELLA, PT, DPT, ATC
ActiveMR. GRANT PANZELLA, PT, DPT, ATC is a Physical Therapy Assistant healthcare provider located in CALEDONIA, Illinois. NPI 1306215835 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CALEDONIA, IL
Registration Details
- NPI Number
- 1306215835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2015 (10.87300752572 yrs)
- Last Updated
- Nov 1, 2021
- License
-
070.026061 (IL)
Practice Information
- Address
-
11917 LERWICK RDCALEDONIA, IL, 610119781Browse IL providers · Browse ZIP 61011
- Phone
- 8159146650
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Physical Therapy Assistant
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.