Individual
MR. MICHAEL GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,BSN ,MT,NMP
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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