Organization
GRAYHAVEN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACY BASSLER PT, DPT, CBS (PHYSICAL THERAPIST, OWNER)
(606) 315-3003
Entity
Organization
Contact information
Practice address
128 RIGSBEES RD, GRAYSON, KY 41143-8832
(606) 315-3003
Mailing address
128 RIGSBEES RD, GRAYSON, KY 41143-8832
(606) 315-3003
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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