Tammy J Grant, LMT
Massage Therapist in Avon Park, FL. Individual provider (NPI-1).
NPI number1821304635
StatusActive
Last updated in NPPESAug 31, 2010
Details
- NPI
- 1821304635
- Entity type
- Individual (NPI-1)
- Name
- Tammy J Grant
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2010
- Last updated
- Aug 31, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA 49358 | FL | Yes |
Practice location
1116 Billy Martin RdAvon Park, FL 33825-4858
Phone 863-453-0684 · Fax 863-453-2873
Mailing address
1116 Billy Martin RdAvon Park, FL 33825-4858
Phone 863-453-0684 · Fax 863-453-2873
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