Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGG WESLEY POTTER, PT, MPT
ActiveMR. GREGG WESLEY POTTER, PT, MPT is a Physical Therapy Assistant healthcare provider located in BLACK CANYON CITY, Arizona. NPI 1710980487 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BLACK CANYON CITY, AZ
Registration Details
- NPI Number
- 1710980487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (21.234174992562 yrs)
- Last Updated
- Feb 5, 2017
- License
-
3297 (AZ)
Practice Information
- Address
-
34301 S OLD BLACK CANYON HWY STE 7BLACK CANYON CITY, AZ, 853249728Browse AZ providers · Browse ZIP 85324
- Phone
- 6233638691
- Fax
- 9282128727
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.