Individual provider · Type 1 NPI

James Colin Grady, LMT

Massage Therapist · Santa, ID

NPI number 1649083635 Active

Practice location

31 East Davis Street
Santa, ID 83866

Mailing address

PO Box 204
Santa, ID 83866-0204

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMAS4960 (ID)
Massage Therapist Primary 225700000XMAS-4960 (ID)

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.

Another provider at this address

About NPI 1649083635

James Colin Grady, LMT's National Provider Identifier is 1649083635, issued on Jan 31, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Santa, ID. The record was last updated on Jan 31, 2025.