Individual
JESSICA DAWN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1155 E 2ND AVE, DURANGO, CO 81301-5155
(970) 403-4834
Mailing address
3007 W 4TH AVE, DURANGO, CO 81301-4274
(970) 403-4834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8021
CO
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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