Provider Demographics
NPI:1477025138
Name:GRAAFF, ASHER (LMT)
Entity Type:Individual
Prefix:MR
First Name:ASHER
Middle Name:
Last Name:GRAAFF
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 S COAST HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-4185
Mailing Address - Country:US
Mailing Address - Phone:760-473-4122
Mailing Address - Fax:
Practice Address - Street 1:528 S COAST HWY STE 201
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-4185
Practice Address - Country:US
Practice Address - Phone:760-473-4122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27896225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist