Healthcare Provider Details

I. General information

NPI: 1235501552
Provider Name (Legal Business Name): GARRETT CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2015
Last Update Date: 10/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6079 BATESVILLE BLVD
PLEASANT PLAINS AR
72568
US

IV. Provider business mailing address

PO BOX 201
PLEASANT PLAINS AR
72568-0201
US

V. Phone/Fax

Practice location:
  • Phone: 501-345-0353
  • Fax:
Mailing address:
  • Phone: 501-345-0353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1691
License Number StateAR

VIII. Authorized Official

Name: DR. NATASHA GARRETT
Title or Position: OWNER
Credential: DC
Phone: 501-345-0353