Individual provider · Type 1 NPI
Grady L. Goolsby, DC
Chiropractor · Merritt Island, FL
NPI number
1265651350
Active
Practice location
317 Magnolia Ave
Merritt Island, FL 32952-4817
Fax (321) 452-8935
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2808 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1265651350
Grady L. Goolsby, DC's National Provider Identifier is 1265651350, issued on Apr 25, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Merritt Island, FL. The record was last updated on Jul 8, 2007.