Healthcare Provider Details

I. General information

NPI: 1508378787
Provider Name (Legal Business Name): POWER HEALTH, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2017
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1070 S SAINT LOUIS ST
BATESVILLE AR
72501-7223
US

IV. Provider business mailing address

1070 S SAINT LOUIS ST
BATESVILLE AR
72501-7223
US

V. Phone/Fax

Practice location:
  • Phone: 870-569-8127
  • Fax:
Mailing address:
  • Phone: 870-569-8127
  • Fax: 870-569-8128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MARY RUTH CHANDLER
Title or Position: AUTHORIZED OFFICIAL
Credential: DC
Phone: 870-307-4798