MEDICARE: MR. CARY EUGENE GRALLER LMT

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
1	225700000X	Massage Therapist	MT03282P	AZ

General Provider Information

NPI Number	:	1609070895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CARY EUGENE GRALLER LMT

Provider Business Mailing Address
First Line	:	1395 WILLOW LAKE RD
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86301-4858
Country	:	US
Telephone Number	:	928-776-1938
Fax Number	:

Provider Business Practice Location Address
First Line	:	1395 WILLOW LAKE RD
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86301-4858
Country	:	US
Telephone Number	:	928-776-1938
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1538714092 — PRESCOTT COMPLETE CARE, PLLC
Practice Location Address:

1947 COMMERCE CENTER CIRCLE , SUITE A
PRESCOTT, AZ
86301

Practice Phone: 928-458-5723
Practice Fax: 928-237-1787

1629910484 — JAMIE SCHAB LMT
Practice Location Address:

1590 WILLOW CREEK RD
PRESCOTT, AZ
86301-1164

Practice Phone: 928-227-1899
Practice Fax:

1396748331 — MICHAEL J SORENSEN M.D.
Practice Location Address:

1223 WILLOW CREEK RD
PRESCOTT, AZ
86301-1427

Practice Phone: 928-777-9950
Practice Fax: 928-777-9975

1992708523 — MARK A THIELE PA-C
Practice Location Address:

1223 WILLOW CREEK RD
PRESCOTT, AZ
86301-1427

Practice Phone: 928-777-9950
Practice Fax: 928-777-9975

1386647998 — PAUL CHRISTIAN PFLUEGER MD
Practice Location Address:

1223 WILLOW CREEK RD
PRESCOTT, AZ
86301-1427

Practice Phone: 928-777-9950
Practice Fax: 928-777-9975

1104829589 — STACY E MASTEN M.S.W., L.C.S.W.
Practice Location Address:

804 AINSWORTH DR , STE 105
PRESCOTT, AZ
86301-1624

Practice Phone: 928-777-0919
Practice Fax: 928-777-8897

Directions to “ MR. CARY EUGENE GRALLER LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.