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NPI Code Detail

MEDICARE: ROYAL & INFINITE HEALING

MEDICARE: ROYAL & INFINITE HEALING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2171400000XHealth & Wellness Coach
3172V00000XCommunity Health Worker
42081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician
52251S0007XSports Physical Therapist
6101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1013858828
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYAL & INFINITE HEALING
Provider Business Mailing Address
First Line : 112 OWEN RD UNIT 6071
Second Line :
City : MONONA
State : WI
Zip : 53716-5003
Country : US
Telephone Number : 608-581-0054
Fax Number :
Provider Business Practice Location Address
First Line : 112 OWEN RD UNIT 6071
Second Line :
City : MONONA
State : WI
Zip : 53716-5003
Country : US
Telephone Number : 608-581-0054
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : MR. GAVIN GRANT
Credential :
Telephone Number : 608-581-0054
Provider Enumeration Date : 04/03/2026
Last Update Date : 04/09/2026

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Directions to “ROYAL & INFINITE HEALING ” Practice Location

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