Individual
TAMARA J GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
161 COLLEGE PARK DR, WEATHERFORD, TX 76086-6211
(817) 709-4186
Mailing address
1105 GRINDSTONE RD UNIT 104, BROCK, TX 76087-9605
(817) 709-4186
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
131366
TX
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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