Idaho
Division of Occupational and Professional Licenses
SHANE DOUGLAS GRAYSON
Physical Therapy Licensure Board - Physical Therapist Assistant
License number
PTA - 3681
Date granted
07/15/2014
Date expires
02/03/2017
Class
Physical Therapy Licensure Board - Physical Therapist Assistant
Status
Current
Address
FILER ID 83328
idaholicensing.com
ID 43734097
LAST UPDATED 2026-04-02 11:50:04 UTC
LAST UPDATED 2026-04-02 11:50:04 UTC
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