Individual
MARCIA GRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9110 LICHTENAUER DR APT 247, LENEXA, KS 66219-2136
(316) 213-4626
Mailing address
9110 LICHTENAUER DR APT 247, LENEXA, KS 66219-2136
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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