NPI 1891171492

Grace Martin, LMT

Practitioner Contractor Flint, MI

Practice location

Address: 2284 S Ballenger Hwy STE. F, Flint, MI 48503-3446
Phone: (810) 235-5181
Mailing address: 418 S Main St, Davison, MI 48423-1608

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 7501004326 (MI)

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Registry record

NPI: 1891171492
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2015
Record last updated: 5 Aug 2015

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.