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Individual
TEDD GRAY
Active
Individual
TEDD GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, LMT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11797529-2401
UT
225700000X
Massage Therapist
11797529-4701
UT
Other
Enumeration date
01/28/2021
Last updated
12/02/2025
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