Individual provider · Type 1 NPI

Lisa Brady Grant, DC

Chiropractor · Jackson, WY

NPI number 1962654160 Active

Practice location

290 W. Kelly St.
Jackson, WY 83001

Mailing address

PO Box 1426
Wilson, WY 83014-1426

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X510 (WY)

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 1962654160

Lisa Brady Grant, DC's National Provider Identifier is 1962654160, issued on Oct 21, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jackson, WY. The record was last updated on Oct 21, 2008.