MISS Anastasia Graham, LMT

NPI #1346053105 in Hayden, Idaho

Provider Information

NPI Number: 1346053105
Entity Type: Individual
Name: MISS Anastasia Graham, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 27, 2025
Last Updated: Jan 27, 2025

Practice Location

Address: 827 W PRAIRIE AVE
City: Hayden
State: Idaho
ZIP Code: 83835-8459
Phone: (208) 660-9378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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