Richard Daren McGraw, Massage Therapist
Massage Therapist in Tacoma, WA. Individual provider (NPI-1).
NPI number1124258751
StatusActive
Last updated in NPPESNov 5, 2009
Details
- NPI
- 1124258751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Daren McGraw
- Credential
- Massage Therapist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2009
- Last updated
- Nov 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA00015811 | WA | Yes |
Practice location
621 Pacific AveTacoma, WA 98402
Phone 253-230-6873 · Fax 253-879-8200
Mailing address
5019 N Whitman StTacoma, WA 98407-1336
Phone 253-230-6875
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