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NPI 1164757407

IndividualActive

Christy Fontenot Granger, L.M.T.

NPI 1164757407 · Mechanotherapist · Lake Charles, LA

Provider details

NPI number: 1164757407
Entity type: Individual
Primary specialty: MechanotherapistOther Service Providers
Credential: L.M.T.
Sex: Female
Sole proprietor: Yes
License: LA00727 (LA)

Practice location

513 Alamo St

Lake Charles, LA 70601-8532

Phone: (337) 494-6298

More LA providers

Mailing address

1013 Iris St

Lake Charles, LA 70601-5437

Registry dates

Enumerated: 2009-10-05
Last updated: 2009-10-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Christy Fontenot Granger, L.M.T. — NPI 1164757407, Lake Charles, LA | NPI Central