Cassandra N Grant, LMT – Massage Therapist

Key facts

NPI: 1700655172
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 33.023200 (OH)
Practice address: 10400 Lancaster Newark Rd NE
Millersport, OH 43046-8003
Phone: (740) 467-2486
NPI assigned: Dec 27, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Keller Family Chiropractic, LLC Chiropractor · Millersport, OH · NPI 1184781171

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
33.023200	OH	MD	Massage Therapist

Practice roles

Organization	Specialty	Status	New patients
Keller Family Chiropractic, LLC		Current since Dec 31, 2023	Accepting new patients

Locations

10400 Lancaster Newark Rd NE
Millersport, OH 43046
Phone (740) 467-2486

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	33.023200	OH	Yes

Addresses

Primary practice location

10400 Lancaster Newark Rd NE
Millersport, OH 43046-8003

Mailing address

621 Goodwin Ave
Lancaster, OH 43130-2436
Phone (740) 415-5220

Other providers in Millersport, OH

All providers in Millersport, OH · Massage Therapist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.