Individual
MARTHA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6333 FRANKFURT RD, OOLTEWAH, TN 37363-5584
(419) 266-5156
Mailing address
6333 FRANKFURT RD, OOLTEWAH, TN 37363-5584
(423) 310-4894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12548
TN
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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