Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Addison Grisaffi, DC

Individual provider Chiropractor · NPI 1407392178

Addison Grisaffi, DC is a Chiropractic in Pocatello, Idaho. Graduated from Logan College of Chiropractic in 2016, 10 years ago. Practices with Pro Sport and Spine PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Trained at
Logan College of Chiropractic
Licensed in
ID
In the registry since
2017
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

335 E Lewis St Ste 10
Pocatello, ID 83201
Phone: (208) 775-7123
Fax: (208) 550-3348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA1729 (ID)

Record details

NPI number1407392178
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 18, 2017
Last updated in NPPESMay 8, 2021
Certification dateMay 8, 2021
Mailing address335 E Lewis St, Ste 10, Pocatello, ID 83201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLOGAN COLLEGE OF CHIROPRACTIC
Graduated 2016 (10 years in practice)
Group practice Pro Sport And Spine Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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