Individual
MR. BRENTON JOHN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT BHSC
Contact information
Practice address
1395 RAIDERS WAY STE 140, HENDERSON, NV 89052-4615
(725) 241-6800
Mailing address
2664 N BUFFALO DR UNIT 2237, LAS VEGAS, NV 89128-4901
(702) 374-9491
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
4522
NV
Other
Enumeration date
12/01/2021
Last updated
12/22/2021
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