Most Relevant Information
Provider Data
| NPI Number: | 1003508672 |
| Provider Name: | GRANT EDWARD MANN LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT-18963 |
Most Important Dates
| Enumeration Date: | 05/23/2023 |
| Last Updated: | 05/23/2023 |
Provider Practice Location
9239 E DREYFUS PL
SCOTTSDALE
AZ
852604397
Practice Location Phone/Fax
| Phone: | 4808894714 |
| Fax: |
Provider Mailing Location
9239 E DREYFUS PL
SCOTTSDALE
AZ
852604397
Provider Mailing Phone/Fax
| Phone: | 4808894714 |
| Fax: |