MRS. Kelly Grace Gramke, MASSAGE THERAPIST

NPI #1609915958 in Laurie, Missouri

Provider Information

NPI Number: 1609915958
Entity Type: Individual
Name: MRS. Kelly Grace Gramke, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MASSAGE THERAPIST
Enumeration Date: Feb 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 401 N MAIN ST
City: Laurie
State: Missouri
ZIP Code: 65037-6173
Phone: (573) 374-0767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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