Individual
DR. THOMAS EARL GRANT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1390 MULHOLLAND ST, NAUVOO, IL 62354-1010
(172) 250-1800
Mailing address
1390 KNIGHT ST, NAUVOO, IL 62354-2037
(801) 376-9596
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6715760-1202
UT
111NN0400X
Neurology Chiropractor
6715760-1202
UT
111NR0400X
Rehabilitation Chiropractor
Primary
6715760-1202
UT
111NS0005X
Sports Physician Chiropractor
6715760-1202
UT
111NX0800X
Orthopedic Chiropractor
6715760-1202
UT
Other
Enumeration date
04/14/2006
Last updated
02/14/2022
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