Individual
DYLAN ANTHONY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
100 N WENATCHEE AVE, WENATCHEE, WA 98801-2239
(509) 888-9989
Mailing address
100 N WENATCHEE AVE, WENATCHEE, WA 98801-2239
(509) 888-9989
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61254734
WA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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