IndividualActive
Grayson Gentzel, PT, D.P.T.
NPI 1477557155 · Geriatric Physical Therapist · Dacula, GA
Provider details
- NPI number
- 1477557155
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, D.P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT004112 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2078 Teron Trce
Suite 250
Dacula, GA 30019-1604
Phone: (404) 993-9082
Fax: (866) 571-5808
Approximate (ZIP-level) locationGet directions
Mailing address
2078 Teron Trce
Dacula, GA 30019-1604
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2010-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.