Individual
CONNIE L GRIMSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
208 W GLORIA SWITCH RD STE 211, LAFAYETTE, LA 70507-3409
(337) 565-4082
(888) 510-5167
Mailing address
208 W GLORIA SWITCH RD STE 211, LAFAYETTE, LA 70507-3409
(337) 565-4082
(888) 510-5167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1335
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
664738
UNITED HEALTHCARE
LA
01
—
G8613
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/12/2006
Last updated
06/25/2019
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