Individual
JENNIFER NICOLE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
334 E MOUNT VERNON BLVD, MOUNT VERNON, MO 65712-2024
(417) 423-7410
(417) 423-7411
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05038
KS
225100000X
Physical Therapist
Primary
2015018391
MO
225100000X
Physical Therapist
PT4420
AR
Other
Enumeration date
04/17/2015
Last updated
02/15/2018
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