Individual
SHANDELL GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1629 E MAIN ST, TRINIDAD, CO 81082-2015
(719) 680-2335
(719) 846-3386
Mailing address
1518 S OAK ST, TRINIDAD, CO 81082-3834
(719) 680-2335
(719) 846-3386
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0004137
CO
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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