Individual provider · Type 1 NPI
Payton Grantham, LMT
Massage Therapist · Henderson, NV
NPI number
1720560618
Active
Practice location
6301 Mountain Vista St Ste 204
Henderson, NV 89014-2366
Mailing address
2001 Ramrod Ave Apt 2121
Henderson, NV 89014-2389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 10475 (NV) |
| Massage Therapist Primary | 225700000X | 75895 (CA) |
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 1720560618
Payton Grantham, LMT's National Provider Identifier is 1720560618, issued on Sep 6, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Henderson, NV. The record was last updated on Jul 14, 2022.