Individual
JEREMY CASH GRADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4500 E 32ND ST STE B, JOPLIN, MO 64804-4404
(417) 680-0806
(877) 766-1658
Mailing address
PO BOX 219297, KANSAS CITY, MO 64121-9297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2014023789
MO
Other
Enumeration date
04/02/2015
Last updated
07/16/2021
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