Provider Demographics
NPI:1730699794
Name:GRENMAN, DANA (DC)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:GRENMAN
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:PO BOX 394
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71902-0394
Mailing Address - Country:US
Mailing Address - Phone:501-520-7772
Mailing Address - Fax:501-441-6875
Practice Address - Street 1:620 CENTRAL AVE STE 2A-4
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-5300
Practice Address - Country:US
Practice Address - Phone:501-520-7772
Practice Address - Fax:501-441-6875
Is Sole Proprietor?:No
Enumeration Date:2017-10-04
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16244111NX0100X
CA34030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0100XChiropractic ProvidersChiropractorOccupational Health