Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Mangan

Individual provider Physical Therapy Assistant · NPI 1841167483

Grant Mangan is a Physical Therapy Assistant in Chesterfield, Missouri. Licensed in Missouri. Registered with an NPI since 2025.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

500 Chesterfield Ctr Ste 300
Chesterfield, MO 63017-4823
Phone: (636) 778-9643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2025045402 (MO)

Record details

NPI number1841167483
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2025
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address578 Highland Ridge Dr, Ballwin, MO 63011-2703

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