Provider Demographics
NPI:1427352160
Name:GRISWOLD, TOREY ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:TOREY
Middle Name:ANNE
Last Name:GRISWOLD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 S WATER ST SUITE 102
Mailing Address - Street 2:ELLENSBURG CHIROPRACTIC
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98922
Mailing Address - Country:US
Mailing Address - Phone:509-260-0490
Mailing Address - Fax:
Practice Address - Street 1:109 S WATER ST SUITE 102
Practice Address - Street 2:ELLENSBURG CHIROPRACTIC
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98922
Practice Address - Country:US
Practice Address - Phone:509-260-0490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHIRO.CH.60129737111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor