Healthcare Provider Details

I. General information

NPI: 1427119767
Provider Name (Legal Business Name): SPINE IN MOTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8820 KNOEDL CT
LITTLE ROCK AR
72205-4600
US

IV. Provider business mailing address

PO BOX 250012
LITTLE ROCK AR
72225-0012
US

V. Phone/Fax

Practice location:
  • Phone: 501-371-0022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD RILEY
Title or Position: PARTNER
Credential: D.C.
Phone: 501-371-0022