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NPI Code Detail

MEDICARE: DANIEL GRAVES

MEDICARE: DANIEL GRAVES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5302MN

General Provider Information

NPI Number : 1083572952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL GRAVES
Provider Business Mailing Address
First Line : PO BOX 7197
Second Line :
City : ROCHESTER
State : MN
Zip : 55903-7197
Country : US
Telephone Number : 507-322-3460
Fax Number : 507-322-3450
Provider Business Practice Location Address
First Line : 4229 W FRONTAGE RD N
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-4310
Country : US
Telephone Number : 507-322-3460
Fax Number : 507-322-3450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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