Doctor Name: | DR. KATHERINE M GRAVESEN |
NPI Number: | 1063545234 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C |
License Number: | 3723-012 |
Business Practice Address: | 30 East Lipoa #4-102 Kihei, HI - 96753 |
Business Phone Number: | 7152628555 |
Business Fax Number: | |
Mailing Address: | 30 East Lipoa, #4-102 KIHEI |
State: | HI |
Postal Code: | 96753 |
Phone Number: | 7152628555 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 08/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3723-012 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |