Individual
MR. GRANT ROBERTSON GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
13411 48TH DR SE, SNOHOMISH, WA 98296-4246
(253) 229-8066
Mailing address
13411 48TH DR SE, SNOHOMISH, WA 98296-4246
(253) 229-8066
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60231897
WA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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