Provider Demographics
NPI:1285984955
Name:GRIER, PATRICIA ANITA (MS, PT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANITA
Last Name:GRIER
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:ANITA
Other - Last Name:DAVENPORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PT
Mailing Address - Street 1:1594 S BIRCH HAVEN BEACH DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49651-8630
Mailing Address - Country:US
Mailing Address - Phone:231-295-1080
Mailing Address - Fax:
Practice Address - Street 1:1900 S LACHANCE RD
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:MI
Practice Address - Zip Code:49651-8022
Practice Address - Country:US
Practice Address - Phone:231-775-3081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI55-01001973225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist