Michelle Grant

NPI #1598363285 in Mustang, Oklahoma

Provider Information

NPI Number: 1598363285
Entity Type: Individual
Name: Michelle Grant
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 1229 W HUNTINGTON WAY
City: Mustang
State: Oklahoma
ZIP Code: 73064-2323
Phone: (702) 347-0641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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