Lisa Brady Grant, DC

NPI #1962654160 in Jackson, Wyoming

Provider Information

NPI Number: 1962654160
Entity Type: Individual
Name: Lisa Brady Grant, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 21, 2008
Last Updated: Oct 21, 2008

Practice Location

Address: 290 W. KELLY ST.
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 739-0553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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