Whalio Doctors

NPI 1669247235

Matthew Weston Graham, LMT

Practitioner Massage Therapist San Pedro, CA

Practice location

Address
2209 W 25th St Unit 1, San Pedro, CA 90732-4147
Phone
(310) 345-5569
Fax
(310) 935-7992

Registered specialties

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 22809 (CA)

Registry record

NPI
1669247235
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Nov 2023
Record last updated
27 Nov 2023

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.