# LEE GRANT LMT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962938985
- **Authorized official:** MR. LEE M GRANT LMT (MASSAGE THERAPIST)
- **Authorized official phone:** 12072843883

## Contact information

- **Practice address:** 39 DEPOT ST, BUXTON, ME 04093-3944
- **Practice address phone:** (120) 728-4388
- **Mailing address:** 39 DEPOT ST, BUXTON, ME 04093-3944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | MT2153 | ME | Yes |

## Other

- **Enumeration date:** 05/11/2017
- **Last updated:** 05/11/2017