Individual
MS. RUBY GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16622 W 159TH ST, LOCKPORT, IL 60441-8014
(815) 838-7746
Mailing address
2110 FIR CT, LOCKPORT, IL 60441-6302
(815) 600-4005
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227009714
IL
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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