Individual
DR. MICHAEL DANIEL GRAJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
111 N PARK ST STE B, CORTEZ, CO 81321
(970) 516-1600
(970) 459-3048
Mailing address
111 N PARK ST STE B, CORTEZ, CO 81321-3340
(970) 516-1600
(970) 459-3048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0012733
CO
225100000X
Physical Therapist
1235743
TX
225100000X
Physical Therapist
86634902401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58770330
—
CO
Enumeration date
10/03/2013
Last updated
08/18/2018
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