Healthcare Provider Details

I. General information

NPI: 1699823971
Provider Name (Legal Business Name): TAYLOR-PICKETT CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2694 THOMASVILLE RD
POCAHONTAS AR
72455-1202
US

IV. Provider business mailing address

PO BOX 582
POCAHONTAS AR
72455-0582
US

V. Phone/Fax

Practice location:
  • Phone: 870-892-3337
  • Fax: 870-892-3337
Mailing address:
  • Phone: 870-892-3337
  • Fax: 870-892-3337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number1333
License Number StateAR

VIII. Authorized Official

Name: DR. EVANA DION TAYLOR-PICKETT
Title or Position: OWNER
Credential: D.C.
Phone: 870-892-3337