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NPI Code Detail

MEDICARE: MR. DAVID C GRAFF PHYSICAL THERAPIST

MEDICARE:  MR. DAVID C GRAFF  PHYSICAL THERAPIST
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 Therapist0785NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174595292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID C GRAFF PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 7301 PEAK DR
Second Line : 150
City : LAS VEGAS
State : NV
Zip : 89128-9037
Country : US
Telephone Number : 702-804-0026
Fax Number : 702-243-4769
Provider Business Practice Location Address
First Line : 7301 PEAK DR
Second Line : SUITE 101
City : LAS VEGAS
State : NV
Zip : 89128-9037
Country : US
Telephone Number : 702-940-3000
Fax Number : 702-940-3004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 03/15/2012

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Directions to “ MR. DAVID C GRAFF PHYSICAL THERAPIST” Practice Location

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