NPI 1669247235
Matthew Weston Graham, LMT
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
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.