Doctor Name: | MS. MIKEEAH GRANT |
NPI Number: | 1104186725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 5546 Camino Al Norte Ste 376 North Las Vegas, NV - 890310805 |
Business Phone Number: | 7753549956 |
Business Fax Number: | |
Mailing Address: | 5546 Camino Al Norte Ste 376, NORTH LAS VEGAS |
State: | NV |
Postal Code: | 890310805 |
Phone Number: | 7024155905 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2012 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |