National Provider Identifier
Grady T Slack, DPT
Grady T Slack, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 338-3070.
Profile Overview
- NPI
- 1194771345
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 26, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1 Whipple Lane
- Rochester, NY 14622
Phone: (585) 338-3070
Mailing Address
- 480 Granger Circle
- Webster, NY 14580
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1194771345
- Entity Type
- Individual
- Last Name
- Slack
- First Name
- Grady
- Middle Name
- T
- Name Prefix
- Mr.
- Credential
- DPT
- Mailing Street Address
- 480 Granger Circle
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580
- Mailing Country
- US
- Mailing Phone
- (585) 787-0057
- Practice Street Address
- 1 Whipple Lane
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14622
- Practice Country
- US
- Practice Phone
- (585) 338-3070
- Practice Fax
- (585) 336-5014
- Enumeration Date
- May 26, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)