Tina Grant, LMP

NPI #1255791505 in Shoreline, Washington

Provider Information

NPI Number: 1255791505
Entity Type: Individual
Name: Tina Grant, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Feb 29, 2016
Last Updated: Feb 29, 2016

Practice Location

Address: 19810 BAGLEY DR N APT U302
City: Shoreline
State: Washington
ZIP Code: 98133-2786
Phone: (510) 552-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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