Russell Grant, PT, DPT

NPI 1053135988 · on the registry since 2024 · sole proprietor

Practice

Address: 821 S Tremont St Ste A
Oceanside, CA 92054
Phone: (760) 542-6666
Organisation at this address: Jonathan W Blue Dpt Inc
Annette Monique Nutrition Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 2251X0800X
2251X0800X
Also registered as: 225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California