Search › Colorado › 171100000X
Johanna Granger, LAC
NPI 1518482413 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4559 Sandpiper Ct
Boulder, CO 80301 - Phone
- (303) 960-2525
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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 Colorado