GRISAFFI SPORTS CHIROPRACTIC, PLLC (NPI# 1598238412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598238412 |
| Entity Type | Organization |
| Organization Name | GRISAFFI SPORTS CHIROPRACTIC, PLLC |
| Practice Address |
335 E Lewis St Ste 10 Pocatello ID 83201-6408 |
| Practice Telephone | 2087757123 |
| Practice Fax Number | 2085503256 |
| Mailing Telephone | 2087757123 |
| Mailing Fax Number | 2085503348 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | MR. ADDISON J GRISAFFI (OWNER / DC) |
| Authorized Official Telephone | 2087757123 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
335 E LEWIS ST STE 10 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073038378 | Streamline Sports Physical Therapy PC | Physical Therapist | 335 E Lewis St Ste 10, Pocatello, ID 83201-6408 | 2017-08-08 |
| 1942761457 | Jennifer Maragret Mccaw | Specialist/Technologist | 335 E Lewis St Ste 10, Pocatello, ID 83201-6408 | 2019-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557511 | Zachary Steven Lovell | Chiropractor | 1800 Flandro Dr Ste 130, Pocatello, ID 83202-4938 | 2020-01-13 |
| 1164849949 | All American Chiropractic Health Center | Chiropractor | 115 S. 15th, Suite C, Pocatello, ID 83201-4068 | 2014-03-18 |
| 1427212661 | Sleeping Spine Health & Wellness, Pllc | Chiropractor | 1246 Yellowstone Ave Ste C4, Pocatello, ID 83201-4373 | 2008-07-16 |
| 1093915209 | Barry M Smith | Chiropractor | 456 Fairway Dr, Pocatello, ID 83201-2090 | 2007-07-25 |
| 1699892026 | Cary Krusoff | Chiropractor | 178 E Quinn Rd, Pocatello, ID 83201-3502 | 2007-03-22 |
| 1023143237 | Darrell Wade Davis | Chiropractor | 1155 Yellowstone Ave, Ste. F, Pocatello, ID 83201-4369 | 2007-02-21 |
| 1831249416 | Mark Edward Belnap | Chiropractor | 521 E Halliday St, Pocatello, ID 83201-6563 | 2007-01-12 |
| 1588721930 | Gary L Johnson | Chiropractor | 2745 Pole Line Rd, Pocatello, ID 83201 | 2007-01-03 |
| 1457429441 | Dana F Liljenquist | Chiropractor | 1605 N Arthur Ave, Pocatello, ID 83204-2504 | 2006-11-30 |
| 1124126545 | Darth Gerard West | Chiropractor | 1155 Pocatello Creek Rd., Pocatello, ID 83201 | 2006-09-20 |
| Find all providers in POCATELLO | ||||
Please comment or provide details below to improve the information on GRISAFFI SPORTS CHIROPRACTIC, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.