Provider Demographics
NPI:1629684022
Name:GRIGSBY, CODY CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:CODY
Middle Name:CHRISTOPHER
Last Name:GRIGSBY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 MOONDANCER CT
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1542
Mailing Address - Country:US
Mailing Address - Phone:419-303-4172
Mailing Address - Fax:
Practice Address - Street 1:421 NORTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33408-5413
Practice Address - Country:US
Practice Address - Phone:561-842-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor