Mr. Grant Panzella, PT, DPT, ATC
Mr. Grant Panzella, PT, DPT, ATC is an Athletic Trainer in Caledonia, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
11917 Lerwick RdCaledonia, IL 61011-9781
Phone: (815) 914-6650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070.026061 (IL) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1306215835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT , ATC |
| Sole proprietor | No |
| NPI enumerated | September 15, 2015 |
| Last updated in NPPES | November 1, 2021 |
| Certification date | November 1, 2021 |
Other providers in Caledonia
-
MS. Kaitlin Adams, ATC
7580 Bridlewood Rd, Caledonia, IL 61011-9013 · (815) 319-0654