Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES COLIN GRADY, LMT
Active Sole ProprietorJAMES COLIN GRADY, LMT is a Massage Therapist healthcare provider located in SANTA, Idaho. NPI 1649083635 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SANTA, ID
Registration Details
- NPI Number
- 1649083635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2025 (1.5182572758302 yrs)
- Last Updated
- Jan 31, 2025
- Licenses
-
MAS4960 (ID)MAS-4960 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31 EAST DAVIS STREETSANTA, ID, 83866Browse ID providers · Browse ZIP 83866
- Phone
- 2082959500
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
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.