Individual
GARRY ANDREW GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C., CSCS
Contact information
Practice address
105 GARFIELD AVE, MCPHEE PHYSICAL EDUCATION CENTER, EAU CLAIRE, WI 54701-4811
(715) 836-3877
(715) 836-5152
Mailing address
3477 SOUTHRIDGE COURT, #2, EAU CLAIRE, WI 54701
(715) 836-3877
(715) 836-5152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
728-039
WI
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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