NPI 1487079539 SHANDELL GRAVES L.M.T. TRINIDAD CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Shandell Graves - NPI: 1487079539

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: SHANDELL GRAVES
NPI Number: 1487079539
Entity Type Code: Individual (1)
Gender: F
Credentials: L.M.T.
License Number: 0004137
Business Practice Address: 1629 E Main St
Trinidad, CO - 810822015
Business Phone Number: 7196802335
Business Fax Number: 7198463386
Mailing Address: 1518 S Oak St,
TRINIDAD
State: CO
Postal Code: 810823834
Phone Number: 7196802335
Fax Number: 7198463386
NPI Enumeration Date: 02/26/2014
NPI Last Update Date: 02/26/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225700000X
License Number: 0004137
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CO
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.


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