Individual
MR. CARY EUGENE GRALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1395 WILLOW LAKE RD, PRESCOTT, AZ 86301-4858
(928) 776-1938
Mailing address
1395 WILLOW LAKE RD, PRESCOTT, AZ 86301-4858
(928) 776-1938
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT03282P
AZ
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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