Individual
JOSEPH JOHN GRAHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.T
Contact information
Practice address
2781 FREEWAY BLVD STE 160, BROOKLYN CENTER, MN 55430-1765
(612) 747-0220
Mailing address
2781 FREEWAY BLVD STE 160, BROOKLYN CENTER, MN 55430-1765
(612) 747-0220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619413655
OTHER
MN
Enumeration date
02/03/2020
Last updated
02/03/2020
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