Individual
LAURA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 INDUSTRIAL CIR, LONGMONT, CO 80501-6559
(303) 682-2440
Mailing address
1860 INDUSTRIAL CIR, LONGMONT, CO 80501-6559
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0013833
CO
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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