NPI 1679612063

Cindy Louise Graham, LMTCMTNCTMB

Practitioner Massage Therapist Warrenton, MO

Practice location

Address: 102 E Booneslick Rd, Warrenton, MO 63383-2004
Phone: (636) 456-1861
Fax: (636) 456-5972

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2006036403 (MO)

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Registry record

NPI: 1679612063
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2007
Record last updated: 8 Jul 2007

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.