Individual
CALLIE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
205 S MAIN ST STE C, LONGMONT, CO 80501-1714
(303) 702-1612
Mailing address
13620 VIA VARRA UNIT 306, BROOMFIELD, CO 80020-9792
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022290
CO
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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