Healthcare Provider Details

I. General information

NPI: 1154984516
Provider Name (Legal Business Name): MATTHEW TUTTLE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2019
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3406 BELLA VISTA WAY
BELLA VISTA AR
72714-5700
US

IV. Provider business mailing address

3406 BELLA VISTA WAY
BELLA VISTA AR
72714-5700
US

V. Phone/Fax

Practice location:
  • Phone: 479-888-8122
  • Fax:
Mailing address:
  • Phone: 479-888-8122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1009
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16306
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number16306
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: