Individual provider · Type 1 NPI

Donna Jo Grant, LMT

Massage Therapist · Los Lunas, NM

NPI number 1114209004 Active

Practice location

1603 Main St SW
Los Lunas, NM 87031-8766

Call (505) 504-3861 Map

Mailing address

2 Berben Rd
Los Lunas, NM 87031-7113

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6926 (NM)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1114209004

Donna Jo Grant, LMT's National Provider Identifier is 1114209004, issued on Sep 15, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Los Lunas, NM. The record was last updated on Sep 15, 2011.