Individual provider · Type 1 NPI
Graly Lillard
Massage Therapist · Beavercreek, OH
NPI number
1396534830
Active
Practice location
3455 Dayton Xenia Rd
Beavercreek, OH 45432-2730
Mailing address
5012 Cordell Dr
Dayton, OH 45439-3272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 33.024700 (OH) |
Massage Therapist: 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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About NPI 1396534830
Graly Lillard's National Provider Identifier is 1396534830, issued on May 1, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beavercreek, OH. The record was last updated on May 1, 2025.