Kelly Grant, PT, ATC is a
Specialist/technologist - Athletic Trainer based in Shaker Heights, Ohio. Kelly Grant is licensed to practice in Georgia (license number AT000525) and her current practice location is
2988 Eaton Rd, Shaker Heights, Ohio. She can be reached at her office (for appointments etc.) via phone at
(216) 991-1050.
NPI number for Kelly Grant is 1871619072 and her current mailing address is 2988 Eaton Rd, Shaker Heights, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871619072.
Healthcare Provider's Profile
Full Name | Kelly Grant |
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Gender | Female |
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Speciality | Specialist/technologist - Athletic Trainer |
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Location | 2988 Eaton Rd, Shaker Heights, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871619072
- Provider Enumeration Date: 03/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kelly Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871619072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT007557 (Georgia) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | AT000525 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Grant, PT, ATC 2988 Eaton Rd, Shaker Heights, OH 44122-2516 Ph: () - | Kelly Grant, PT, ATC 2988 Eaton Rd, Shaker Heights, OH 44122-2516 Ph: (216) 991-1050 |
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