Individual
TYLER GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1624 HARMON PL STE 209, MINNEAPOLIS, MN 55403-1902
(941) 203-9408
Mailing address
1624 HARMON PL STE 209, MINNEAPOLIS, MN 55403-1902
(941) 203-9408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LIC390595
MN
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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