Individual
BRETT GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2189 E 3300 S, SALT LAKE CITY, UT 84109-2666
(801) 466-7122
Mailing address
2189 E 3300 S, SALT LAKE CITY, UT 84109-2666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11577446-1202
UT
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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