Mr. Scotty W. Grantham, RPT
Mr. Scotty W. Grantham, RPT is a Physical Therapist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.
- Licensed in
- MS
- In the registry since
- 2006
Practice location Address checks out
5250 Galaxie Dr Ste KJackson, MS 39206-4311
Phone: (601) 368-4570
Fax: (601) 368-4571
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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 PT3612 (MS) |
|---|
Record details
| NPI number | 1366524464 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RPT |
| Sole proprietor | No |
| NPI enumerated | October 19, 2006 |
| Last updated in NPPES | July 8, 2007 |
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