| NPI | 1811938756 |
|---|---|
| Other Name | TRACE GRISSO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 713593) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TX 8761) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-11-05 |