Individual
KELLY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
2988 EATON RD, SHAKER HEIGHTS, OH 44122-2516
(216) 991-1050
Mailing address
2988 EATON RD, SHAKER HEIGHTS, OH 44122-2516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007557
GA
2255A2300X
Athletic Trainer
AT000525
GA
Other
Enumeration date
03/21/2007
Last updated
09/11/2025
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