Individual
GRANT RANDALL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5625 PEARL DR STE 100, EVANSVILLE, IN 47712-8106
(812) 759-7493
(812) 401-2346
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
99131539A
IN
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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