Individual
JOHN PAYTON GRAVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12204
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q072693
—
TN
Enumeration date
07/08/2019
Last updated
06/20/2022
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