| NPI | 1851805493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEN HENNINGSEN Owner/Practitioner 479-358-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: AR 065) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |