Individual provider Active NPI

Graham Phillips Davis, LMT

  • Reflexologist
  • Salt Lake City, UT
National Provider Identifier
1174927487
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
8489516-4701 Issued in UT
Practice address
1174 E Graystone Way
Graystone Health and Professional Building
Salt Lake City, UT 84106-2673
Phone
(801) 889-3944
NPI assigned
Oct 15, 2014
Last updated
Oct 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 8489516-4701 UT Primary

Addresses

Primary practice location

1174 E Graystone Way
Graystone Health and Professional Building
Salt Lake City, UT 84106-2673

Mailing address

1174 E Graystone Way
Graystone Health and Professional Building
Salt Lake City, UT 84106-2673
Phone (801) 889-3944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8489516-4701UTMDReflexologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1174927487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY",
            "address_2": "GRAYSTONE HEALTH AND PROFESSIONAL BUILDING",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062673",
            "telephone_number": "801-889-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 E GRAYSTONE WAY",
            "address_2": "GRAYSTONE HEALTH AND PROFESSIONAL BUILDING",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062673",
            "telephone_number": "801-889-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GRAHAM",
        "middle_name": "PHILLIPS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "UT",
            "license": "8489516-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.