Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CANDICE LAUREN GRADY, PT, DPT
Active Sole ProprietorPhysical Therapy Assistant · CONWAY, AR
Registration Details
- NPI Number
- 1891049532
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2012 (13.483230030746 yrs)
- Last Updated
- May 28, 2024
- Licenses
-
PT4788 (MS)PT4929 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1025 TRILLIUM DRCONWAY, AR, 720347563Browse AR providers · Browse ZIP 72034
- Phone
- 6624159717
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CONWAY, AR
| Name | Credential | NPI |
|---|---|---|
| LORA A MIZE | DPT | 1356332415 |
| MRS. TERRI LAKE BERKSHIRE | MS PT | 1326093279 |
| MS. LETITIA MCMASTER | DPT | 1205881588 |
| MS. DEBORAH DAVIS | MSPT | 1669428314 |
| ELLEN R HAVERSTICK | PT | 1720029655 |
| MR. JOHN GREGORY HOGUE | PT | 1225041320 |
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.