Individual provider · Type 1 NPI

Shandell Graves, L.M.T.

Massage Therapist · Trinidad, CO

NPI number 1487079539 Active

Practice location

1629 E Main St
Trinidad, CO 81082-2015

Call (719) 680-2335 Map

Fax (719) 846-3386

Mailing address

1518 S Oak St
Trinidad, CO 81082-3834

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0004137 (CO)

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 1487079539

Shandell Graves, L.M.T.'s National Provider Identifier is 1487079539, issued on Feb 26, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Trinidad, CO. The record was last updated on Feb 26, 2014.