Individual
CASSIE LEE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
1453 REDWOOD CIR, GRANTS PASS, OR 97527-5523
(541) 226-1515
Mailing address
1453 REDWOOD CIR, GRANTS PASS, OR 97527-5523
(541) 226-1515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25258
OR
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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