| NPI | 1063975571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SUE COONFIELD Credentialing 479-332-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-07-22 |