Jason Michael Graham ATC, LAT

NPI 1023316932 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1023316932
Gender Male
Enumeration Date 03/02/2011
Last Updated 03/02/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
600 PARK ST
GMC 190
HAYS KS, 67601-4009, US
Phone (785) 313-3306
Fax
Business Location
6860 N 52ND ST
MANHATTAN KS, 66503-8635, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Kansas
License Number 24-00667
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According to our database, Mr. Jason Michael Graham ATC, LAT NPI is 1023316932, taxonomy code is 2255A2300X and license number is 24-00667, license state is located at Kansas. Jason Michael Graham ATC, LAT physically located at 600 Park St, Hays KS, 67601-4009. NPI Number Jason Michael Graham ATC, LAT has the Individual type.

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1023316932 NPI number is provided on an as is basis without warranty of any kind. 1023316932 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Michael Graham ATC, LAT are for informational purposes only.