Individual
MR. NATHAN S GRAVLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 HIGHWAY 6, PAYSON, UT 84651-1600
(801) 465-7070
(801) 465-7001
Mailing address
3820 CRESTWOOD LN, IDAHO FALLS, ID 83404-4979
(208) 552-7700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
313219-2401
UT
225100000X
Physical Therapist
Primary
PT5991
ID
Other
Enumeration date
04/16/2007
Last updated
04/22/2019
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