Doctor Name: | DANA LYN GRAY |
NPI Number: | 1124270830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.M.T. |
License Number: | 109-046 |
Business Practice Address: | 350 N. Dewey Ave. Reedsburg, WI - 53959 |
Business Phone Number: | 6085247707 |
Business Fax Number: | |
Mailing Address: | P.o. Box 82, REEDSBURG |
State: | WI |
Postal Code: | 53959 |
Phone Number: | 6085247707 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2008 |
NPI Last Update Date: | 10/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 109-046 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |