Shannon Grimes

NPI #1730681727 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1730681727
Entity Type: Individual
Name: Shannon Grimes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Mar 6, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 1603 S MUSKOGEE AVE
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-5430
Phone: (918) 453-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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