Individual
KIM GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
176E W UNIVERSITY PKWY # E, JACKSON, TN 38305-1616
(731) 300-4950
Mailing address
176E W UNIVERSITY PKWY # E, JACKSON, TN 38305-1616
(731) 300-4950
(731) 300-4951
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3497
TN
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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