Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deandre Grayson, LAT, LMT, ATC, CSCS

Individual provider Massage Therapist · NPI 1891189437

Deandre Grayson, LAT, LMT, ATC, CSCS is a Massage Therapist in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
LMT — Licensed Massage Therapist
A state-licensed massage therapist.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1081 Broad Ripple Ave
Indianapolis, IN 46220-2034
Phone: (317) 808-0350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IN)
Massage Therapist Taxonomy 225700000X (IN)

Record details

NPI number1891189437
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , LMT , ATC , CSCS
Sole proprietorNo
NPI enumeratedMarch 21, 2015
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address537 E Ohio St, Indianapolis, IN 46204-2123

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