MR. WILEY GRANTHAM IV
NPI 1619583689
Physical Therapy Assistant in Lake City, FL
About Mr. Wiley Grantham Iv NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILEY GRANTHAM IV (NPI 1619583689) is an individual physical therapy assistant in Lake City, Florida, licensed in Florida (26541) and active in the NPI registry since September 2020.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE CITY, FL 32025
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wiley Grantham's NPI number?
The NPI number for Wiley Grantham is 1619583689. It was assigned to this individual provider in the NPPES registry on September 16, 2020.
Where is Wiley Grantham located?
Wiley Grantham practices at 560 SW Mcfarlane Ave, Lake City, FL 32025. The listed phone number is (386) 758-4777.
What is Wiley Grantham's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Wiley Grantham was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.