Individual
MR. GRANT THOMAS RALEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
400 W 4TH ST, MCPHERSON, KS 67460-2300
(620) 241-4201
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07014
KS
Other
Enumeration date
06/08/2022
Last updated
02/13/2024
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