Brian Joseph Grady in St. Augustine - Massage Therapist
Brian Joseph Grady - NPI 1538206016
Brian Joseph Grady is a Massage Therapist in St. Augustine, Florida. Brian Joseph Grady practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Brian Joseph Grady is 1538206016. The last update date is 2007-07-08.
Brian Joseph Grady's current location address is 11360 Cr 13 N, St. Augustine, Florida. You can contact this provider via phone number 9042702000 and fax number 9042700010. The mailing address for Brian Joseph Grady is 11360 Cr 13 N, St. Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Joseph Grady |
|---|---|
| Address | 11360 Cr 13 N, St. Augustine, Florida |
| Phone Number | 9042702000 |
| Fax Number | 9042700010 |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1538206016 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11360 Cr 13 N |
|---|---|
| City | St. Augustine |
| State | Florida (FL) |
| Post Code | 32092 |
| Phone Number | 9042702000 |
| Fax Number | 9042700010 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA31790 |
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Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
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What is the unique identifier code issued to Brian Joseph Grady by the Centers for Medicare & Medicaid Services?
The Brian Joseph Grady has been assigned the NPI (National Provider Identifier) 1538206016. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brian Joseph Grady?
The Brian Joseph Grady is physically situated at 11360 Cr 13 N, in the city of St. Augustine, state of FL, with the postal code 32092.
What is Brian Joseph Grady's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Joseph Grady's area of specialization is Massage Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225700000X.
On what date did Brian Joseph Grady receive its 1538206016 assignment from the Centers for Medicare & Medicaid Services?
The Brian Joseph Grady was assigned its 1538206016 on 2007-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Brian Joseph Grady's information last updated?
The Brian Joseph Grady's information was last updated on 2007-07-08.