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

Grant Larie, DC

Individual provider Chiropractor · NPI 1770939159

Grant Larie, DC is a Chiropractic in De Pere, Wisconsin. Qualified in 2016, 10 years ago. Practices with Chiropractic Health and Rehabilitation Center, a 3-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

502 George St
De Pere, WI 54115-2714
Phone: (920) 337-0103
Fax: (920) 338-9066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5174-12 (WI)

Record details

NPI number1770939159
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESMay 4, 2016
Mailing address502 George St, De Pere, WI 54115-2714

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Chiropractic Health And Rehabilitation Center — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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