# DR. THOMAS EARL GRANT JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1992769046
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 6715760-1202 | UT | — |
| 111NN0400X | Neurology Chiropractor | 6715760-1202 | UT | — |
| 111NR0400X | Rehabilitation Chiropractor | 6715760-1202 | UT | Yes |
| 111NS0005X | Sports Physician Chiropractor | 6715760-1202 | UT | — |
| 111NX0800X | Orthopedic Chiropractor | 6715760-1202 | UT | — |

## Other

- **Enumeration date:** 04/14/2006
- **Last updated:** 02/14/2022