Individual
DR. MICHAEL GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3400 HAYDENPARK LN STE 300, HENRICO, VA 23233-7867
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 318-3007
(210) 468-0682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557720
VA
111NR0400X
Rehabilitation Chiropractor
Primary
0104-557720
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104-557720
CHIROPRACTIC LICENSE
VA
01
—
X013392
CHIROPRACTIC LICENSE
NY
Enumeration date
03/01/2021
Last updated
02/24/2026
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