Gena Granstrom, LMP

NPI #1144477324 in Milton, Washington

Provider Information

NPI Number: 1144477324
Entity Type: Individual
Name: Gena Granstrom, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 19, 2008
Last Updated: Aug 19, 2008

Practice Location

Address: 102 5TH AVE APT 2-204
City: Milton
State: Washington
ZIP Code: 98354-8603
Phone: (253) 517-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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