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Individual
MATTHEW EDWARD GRIMM
Active
Individual
MATTHEW EDWARD GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00024818
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/26/2013
Last updated
04/19/2022
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