NPI 1083984280

Jeremiah Lewis Grantham, APLMT

Practitioner Acupuncturist Boca Raton, FL

Practice location

Address: 398 Camino Gardens Blvd STE 203, Boca Raton, FL 33432-5827
Phone: (561) 212-1249

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 2379 (FL)

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Registry record

NPI: 1083984280
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jan 2012
Record last updated: 4 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.