Individual
LATRISHA CATRELL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6463 LIVEWOOD OAKS DR, ORLANDO, FL 32818-2735
(407) 209-6344
Mailing address
6463 LIVEWOOD OAKS DR, ORLANDO, FL 32818-2735
(407) 209-6344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA77171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA77171
MASSAGE THERAPIST LICENSE NUMBER
FL
Enumeration date
10/09/2015
Last updated
10/09/2015
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