Search › Illinois › 225100000X
Grant Panzella, PT, DPT, ATC
NPI 1306215835 · on the registry since 2015
Practice
- Address
- 11917 Lerwick Rd
Caledonia, IL 61011 - Phone
- (815) 914-6650
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 2255A2300X
390200000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois