NPI 1164757407

Christy Fontenot Granger, LMT

Practitioner Mechanotherapist Lake Charles, LA

Practice location

Address: 513 Alamo St, Lake Charles, LA 70601-8532
Phone: (337) 494-6298
Mailing address: 1013 Iris St, Lake Charles, LA 70601-5437

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence LA00727 (LA)

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Registry record

NPI: 1164757407
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2009
Record last updated: 5 Oct 2009

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.