Individual
MR. TIMOTHY A GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NCTMB
Contact information
Practice address
225 HEMINGWAY RD, LOUISVILLE, KY 40207-4001
(502) 594-3875
(502) 895-9650
Mailing address
225 HEMINGWAY RD, LOUISVILLE, KY 40207-4001
(502) 594-3875
(502) 895-9650
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY-1185
KY
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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