Individual provider · Type 1 NPI

Patricia Elaine Grant, L.M.T/M.M.P.

Massage Therapist · Ponchatoula, LA

NPI number 1750698510 Active

Practice location

120 Manor Dr
Ponchatoula, LA 70454-2920

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLA # 1476 (LA)

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 1750698510

Patricia Elaine Grant, L.M.T/M.M.P.'s National Provider Identifier is 1750698510, issued on Aug 31, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ponchatoula, LA. The record was last updated on Aug 31, 2010.