Individual
KATHLEEN JOAN GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6001 WESTOWN PKWY, WEST DES MOINES, IA 50266-7702
(515) 224-1414
(515) 224-5140
Mailing address
6001 WESTOWN PKWY, WEST DES MOINES, IA 50266-7719
(515) 224-1414
(515) 224-5140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02760
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811285547
—
IA
Enumeration date
07/15/2011
Last updated
11/19/2019
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