Individual
HEATHER GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
675 E 16TH ST STE 55, HOLLAND, MI 49423-5807
(231) 878-1841
Mailing address
3825 121ST AVE, ALLEGAN, MI 49010-9445
(231) 878-1841
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000725
MI
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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