Healthcare Provider Details

I. General information

NPI: 1144184821
Provider Name (Legal Business Name): WHOLE BODY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3945 HIGHWAY 392 W
HARRISON AR
72601-9684
US

IV. Provider business mailing address

4601 CHANEY HOLLOW DR
HARRISON AR
72601-6685
US

V. Phone/Fax

Practice location:
  • Phone: 501-350-1226
  • Fax:
Mailing address:
  • Phone: 501-350-1226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MOORE
Title or Position: RN/ MANAGING PARTNER
Credential: RN
Phone: 501-350-1226