Individual
CONNOR GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, CMSK
Contact information
Practice address
2100 25TH ST STE K, COLUMBUS, IN 47201-3203
(812) 372-3035
Mailing address
2100 25TH ST STE K, COLUMBUS, IN 47201-3203
(812) 372-3035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006197A
IN
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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