Healthcare Provider Details

I. General information

NPI: 1003739632
Provider Name (Legal Business Name): CALLY WOOLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 N STATE LINE AVE
TEXARKANA AR
71854-3582
US

IV. Provider business mailing address

4001 COLUMBIA 30
MAGNOLIA AR
71753
US

V. Phone/Fax

Practice location:
  • Phone: 970-774-0951
  • Fax:
Mailing address:
  • Phone: 870-949-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number12503
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: