MR. Grady Tift, L.M.P

NPI #1881015949 in Longview, Washington

Provider Information

NPI Number: 1881015949
Entity Type: Individual
Name: MR. Grady Tift, L.M.P
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: L.M.P
Enumeration Date: Dec 16, 2013
Last Updated: Dec 16, 2013

Practice Location

Address: 1815 HUDSON ST
City: Longview
State: Washington
ZIP Code: 98632-2913
Phone: (360) 636-2636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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