NPI 1619566056

Trevor Graham, MBALMTCMMP

Practitioner Massage Therapist Lanham, MD

Practice location

Address: 9300 Woodmore Center Dr STE 212, Lanham, MD 20706-1664
Phone: (301) 364-3400
Mailing address: 7004 Mason St, District Heights, MD 20747-2336

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence M05290 (MD)

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Registry record

NPI: 1619566056
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jan 2021
Record last updated: 11 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.