Grayson, Shane
Grayson, Shane is an individual health care provider with primary practice located at 182 Falls Ave W , Twin Falls ID 83301-3595. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Grayson, Shane can be contacted via phone (208) 995-7842.Contact Information
Primary practice address
182 Falls Ave W
Twin Falls ID 83301-3595
Phone: (208) 995-7842
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA-3681 | Idaho |
Profile Details
| NPI number | 1295143147 |
|---|---|
| LBN Legal business name | Grayson, Shane |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2014 |
| Last updated | Jul 23rd, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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