Grant, Robert Kelly

Grant, Robert Kelly is an sole proprietor health care provider with primary practice located at 1836 Westlake Ave N Suite 102, Seattle WA 98109-2755. He recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as his primary health care specialty. Grant, Robert Kelly can be contacted via phone (206) 914-0288.

Contact Information

Primary practice address
1836 Westlake Ave N Suite 102 Seattle WA 98109-2755
Phone: (206) 914-0288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X MA 00017889 Washington

Profile Details

NPI number 1245583244
LBN Legal business name Grant, Robert Kelly
Credentials LMP, NCTMB
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2012
Last updated Oct 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245583244 NPPES
Washington Other MA 00017889 MASSAGE PRACTITIONER LICENSE
Washington Other 387113-00 MASSAGE PRACTITIONER LICENSE

Popular Providers