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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY GRACE GRAMKE, MASSAGE THERAPIST

Active Sole Proprietor

MRS. KELLY GRACE GRAMKE, MASSAGE THERAPIST is a Specialist healthcare provider located in LAURIE, Missouri. NPI 1609915958 is currently active in the NPPES registry. Verify at CMS.

Specialist · LAURIE, MO

Registration Details

NPI Number
1609915958
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2007 (19.485121823381 yrs)
Last Updated
Jul 8, 2007
License
2001002512 (MO)
Sole Proprietor
Yes

Practice Information

Address
401 N MAIN ST
LAURIE, MO, 650376173
Browse MO providers · Browse ZIP 65037
Phone
5733740767
Fax
5733741399
Primary Specialty
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.