SearchColorado2255A2300X

Jaqueline Grant, LAT, ATC

NPI 1841801958 · on the registry since 2020 · sole proprietor

Practice

Address
2305 Pierce St
Denver, CO 80214
Phone
(303) 875-0780

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-25

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