Individual
DAVID C GRINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Mailing address
1910 E 3060 S, SALT LAKE CITY, UT 84106-3932
(989) 413-1448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8313504-2401
UT
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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