Individual
ZACHARY GRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
44 COPPERFIELD CIR, LITITZ, PA 17543-9482
(717) 626-6288
(717) 626-0203
Mailing address
44 COPPERFIELD CIR, LITITZ, PA 17543-9482
(717) 626-6288
(717) 626-0203
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG014892
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSG0114892
MASSAGE THERAPY
PA
Enumeration date
12/14/2022
Last updated
12/14/2022
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