Provider Demographics
NPI:1023440997
Name:WEBB, GRAYSON MENNE (DPT)
Entity type:Individual
Prefix:
First Name:GRAYSON
Middle Name:MENNE
Last Name:WEBB
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:EVELYN
Other - Middle Name:GRAYSON
Other - Last Name:MENNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3000 EDWARD CURD LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5791
Mailing Address - Country:US
Mailing Address - Phone:615-791-2630
Mailing Address - Fax:615-790-2639
Practice Address - Street 1:3000 EDWARD CURD LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5791
Practice Address - Country:US
Practice Address - Phone:615-791-2630
Practice Address - Fax:615-790-2639
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011119225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPT011119OtherPHYSICAL THERAPIST LICENSE