Darla Kay Grant, PT, MPT

Individual provider Active NPI Pediatric Physical Therapist · Pittsburg, TX

NPI 1962828855 · NPPES record last updated Mar 15, 2014

Key facts

NPI
1962828855
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
1098945 (TX)
Practice address
139 County Road 1218
Pittsburg, TX 75686-6182
Phone
(903) 563-4223
NPI assigned
Mar 15, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1098945TXMDPediatric Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1098945 TX Yes

Addresses

Primary practice location

139 County Road 1218
Pittsburg, TX 75686-6182

Mailing address

139 County Road 1218
Pittsburg, TX 75686-6182
Phone (903) 563-4223

Other providers in Pittsburg, TX

All providers in Pittsburg, TX · Pediatric Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.