NPI 1750698510

Patricia Elaine Grant, LMTMMP

Practitioner Massage Therapist Ponchatoula, LA

Practice location

Address: 120 Manor Dr, Ponchatoula, LA 70454-2920
Phone: (985) 507-7319

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LA # 1476 (LA)

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Registry record

NPI: 1750698510
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2010
Record last updated: 31 Aug 2010

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.