Individual
COOPER WAYNE GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5407 NEW COPELAND RD STE 100, TYLER, TX 75703-3997
(903) 630-7204
Mailing address
7832 COUNTY ROAD 475 S, HENDERSON, TX 75654-9255
(903) 646-8073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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