Individual
MR. BENJAMIN MARTIN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7739
(901) 522-2600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT0000007124
TN
225100000X
Physical Therapist
Primary
PT0000007124
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q072636
—
TN
Enumeration date
05/14/2007
Last updated
06/15/2022
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