Individual
PAYTON GRANTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6301 MOUNTAIN VISTA ST STE 204, HENDERSON, NV 89014-2366
(657) 464-4676
Mailing address
2001 RAMROD AVE APT 2121, HENDERSON, NV 89014-2389
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
10475
NV
225700000X
Massage Therapist
Primary
75895
CA
Other
Enumeration date
09/06/2018
Last updated
07/14/2022
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