Individual
SHELBI GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
3770 DIXIE HWY, WATERFORD, MI 48329-4289
(248) 383-8117
Mailing address
6680 COOLIDGE HWY, TROY, MI 48098-1932
(810) 288-1571
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
T283421
MI
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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