Provider Demographics
NPI:1508170994
Name:GRAF, THERESA ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:ANN
Last Name:GRAF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16021 KAIROS RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SOUTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23834-5205
Mailing Address - Country:US
Mailing Address - Phone:804-536-6262
Mailing Address - Fax:
Practice Address - Street 1:16021 KAIROS RD
Practice Address - Street 2:SUITE C
Practice Address - City:SOUTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23834-5205
Practice Address - Country:US
Practice Address - Phone:804-536-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556825111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor