Individual
SHANNON REID-GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1550 N. CRESTMONT DR., STE. E, MERIDIAN, ID 83642-2177
(208) 898-0988
(208) 898-9022
Mailing address
1550 N. CRESTMONT DR., STE. E, MERIDIAN, ID 83642-2177
(208) 898-0988
(208) 898-9022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-626
ID
Other
Enumeration date
09/04/2012
Last updated
12/12/2025
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