Individual provider · Type 1 NPI
Grew Grace Lott, ATC
Student in an Organized Health Care Education/Training Program · Oak Harbor, OH
NPI number
1346714706
Active
Practice location
12839 W Portage River South Rd
Oak Harbor, OH 43449-9687
Mailing address
3318 20th Ave S
Seattle, WA 98144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1346714706
Grew Grace Lott, ATC's National Provider Identifier is 1346714706, issued on Jan 17, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Oak Harbor, OH. The record was last updated on Aug 12, 2022.