Individual
GRACY SHEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 LURLEEN B WALLACE BLVD N, TUSCALOOSA, AL 35401-1713
(054) 098-0602
Mailing address
12151 AUTUMN LEAVES TRL, NORTHPORT, AL 35473-8561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18047
NC
225100000X
Physical Therapist
Primary
PTH11097
AL
Other
Enumeration date
08/06/2018
Last updated
11/08/2022
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