Individual
RICHARD GRAVES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5005 S 22ND ST, PHOENIX, AZ 85040-2529
(602) 386-8515
Mailing address
5005 S 22ND ST, PHOENIX, AZ 85040-2529
(602) 386-8515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-15974
AZ
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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