Individual
DEANDRE GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, LMT, ATC, CSCS
Contact information
Practice address
5128 E STOP 11 RD STE 36, INDIANAPOLIS, IN 46237-6338
(317) 627-0845
Mailing address
5128 E STOP 11 RD STE 36, INDIANAPOLIS, IN 46237-6338
(317) 627-0845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
225700000X
Massage Therapist
—
IN
Other
Enumeration date
03/21/2015
Last updated
11/18/2024
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