Individual
WHITNEY MICHELLE GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10210 DAVINHURST CT, LOUISVILLE, KY 40241-1188
(502) 767-7378
(502) 470-3566
Mailing address
210 S PARKSIDE DR, BARDSTOWN, KY 40004-9448
(502) 507-5439
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
246ZC0007X
Surgical Assistant
Primary
15-230
IN
Other
Enumeration date
12/13/2019
Last updated
08/29/2022
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