Individual
THERESE DANIELLE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9400 WILLIAMSBURG PLZ, SUITE 100, LOUISVILLE, KY 40222-5093
(502) 412-4486
(502) 412-4490
Mailing address
9400 WILLIAMSBURG PLZ, SUITE 100, LOUISVILLE, KY 40222-5093
(502) 412-4486
(502) 412-4490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001636
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00441671
RAILROAD MEDICARE
KY
Enumeration date
03/12/2007
Last updated
03/05/2013
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