Individual
MR. MICHAEL GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,BSN ,MT,NMP
Contact information
Practice address
4141 SOUTHWEST FWY STE 510, HOUSTON, TX 77027-7334
(713) 528-2097
(713) 665-7702
Mailing address
4141 SOUTHWEST FWY STE 510, HOUSTON, TX 77027-7334
(713) 528-2097
(713) 960-1122
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
743151864
TX
225700000X
Massage Therapist
Primary
MT002051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468225-01
—
TX
Enumeration date
03/09/2007
Last updated
01/10/2024
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