Individual
MISS LAKEA LOUISE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16604 WALDEN AVE, CLEVELAND, OH 44128-1434
(216) 242-7621
Mailing address
16604 WALDEN AVE, CLEVELAND, OH 44128-1434
(216) 242-7621
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
018882
OH
225700000X
Massage Therapist
018882
—
Other
Enumeration date
08/17/2010
Last updated
01/30/2021
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