Organization
ROYAL & INFINITE HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAVIN GRANT (FOUNDER)
(608) 581-0054
Entity
Organization
Contact information
Practice address
112 OWEN RD UNIT 6071, MONONA, WI 53716-5003
(608) 581-0054
Mailing address
112 OWEN RD UNIT 6071, MONONA, WI 53716-5003
(608) 581-0054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Enumeration date
04/03/2026
Last updated
05/12/2026
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