NPI 1407392178

Addison Grisaffi, DC

Practitioner Chiropractor Pocatello, ID

Practice location

Address: 335 E Lewis St STE 10, Pocatello, ID 83201
Phone: (208) 775-7123
Fax: (208) 550-3348

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CHIA1729 (ID)

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Registry record

NPI: 1407392178
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jan 2017
Record last updated: 8 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.