Individual
MICHEALA KEISHA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8001 RAINTREE LN STE 213, CHARLOTTE, NC 28277-8919
(757) 676-1313
Mailing address
8001 RAINTREE LN STE 213, CHARLOTTE, NC 28277-8919
(757) 676-1313
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16587
NC
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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