SearchIdaho225700000X

James Grady, LMT

NPI 1649083635 · on the registry since 2025 · sole proprietor

Practice

Address
31 East Davis Street
Santa, ID 83866
Phone
(208) 295-9500
Organisation at this address
Upriver Myopractic, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
225700000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho