Individual
ASHTEN GRANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 SAINT JOHN AVE STE 2, DYERSBURG, TN 38024-2209
(731) 325-5515
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6670
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029723
—
TN
Enumeration date
08/19/2020
Last updated
10/06/2020
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