Individual
KRISTY GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5722 METRO WAY SW, WYOMING, MI 49519-9524
(616) 840-7529
(616) 840-9693
Mailing address
2215 44TH ST SW, WYOMING, MI 49519-6439
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501015645
MI
Other
Enumeration date
03/16/2018
Last updated
05/04/2021
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