Individual
GRADY E STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1414 S 324TH ST # B213, FEDERAL WAY, WA 98003-8444
(253) 210-0511
Mailing address
1414 S 324TH ST # B213, FEDERAL WAY, WA 98003-8444
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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