=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801747753
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RESTORATION HEALTH OF BRYANT, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2026
-----------------------------------------------------
Last Update Date | 02/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3345 HIGHWAY 5 N STE 300
-----------------------------------------------------
City | BRYANT
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72019-9031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-604-6656
-----------------------------------------------------
Fax | 501-244-3784
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3345 HIGHWAY 5 N STE 300
-----------------------------------------------------
City | BRYANT
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72019-9031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-604-6656
-----------------------------------------------------
Fax | 501-244-3784
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CASE MANAGER
-----------------------------------------------------
Name | MISSY HARKEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 501-400-7700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------