Healthcare Provider Details

I. General information

NPI: 1891609921
Provider Name (Legal Business Name): GRACE CHIROPRACTIC & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1244 WILLIAM D TATE AVE
GRAPEVINE TX
76051-4030
US

IV. Provider business mailing address

1244 WILLIAM D TATE AVE
GRAPEVINE TX
76051-4030
US

V. Phone/Fax

Practice location:
  • Phone: 817-251-9828
  • Fax:
Mailing address:
  • Phone: 817-251-9828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CAROLINE KIRKPATRICK
Title or Position: OWNER
Credential: DC
Phone: 469-662-0234