MEDICARE: ELITE 24 HEALTH GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor
2	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1508001488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELITE 24 HEALTH GROUP

Provider Business Mailing Address
First Line	:	P.O. BOX 10585
Second Line	:
City	:	FT. SMITH
State	:	AR
Zip	:	72917
Country	:	US
Telephone Number	:	479-452-0031
Fax Number	:	479-452-0034

Provider Business Practice Location Address
First Line	:	1200 S. WALDRON RD.
Second Line	:	SUITE 155
City	:	FT. SMITH
State	:	AR
Zip	:	72903
Country	:	US
Telephone Number	:	479-452-0031
Fax Number	:	479-452-0034

Authorized Official
Title or Position	:	CLINIC OWNER
Name	:	MRS. SHERRY ANN EZELL
Credential	:	LMT, NMT, MMP
Telephone Number	:	479-452-0031

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	04/28/2009

Similar Medicare Providers

1063529659 — MARGARET J THIELE DDS PA
Practice Location Address:

3501 S GARY
FT. SMITH, AR
72903

Practice Phone: 479-646-0913
Practice Fax: 479-646-8844

1225105018 — OPEN AIRE IMAGING CENTERS OF AMERICA LLC
Practice Location Address:

5701 EUPER LANE , SUITE B
FT SMITH, AR
72903-3237

Practice Phone: 479-452-3910
Practice Fax: 479-452-6553

1841351103 — SOLUTION ORIENTED HEALTHCARE SYSTEMS, INC
Practice Location Address:

5111 ROGERS AVE. , SUITE 535
FT. SMITH, AR
72903

Practice Phone: 479-484-9100
Practice Fax: 479-935-8611

1548325160 — BACK TO HEALTH MEDICAL CLINIC
Practice Location Address:

6800 S. DALLAS ST , STE A
FT. SMITH, AR
72903-5189

Practice Phone: 479-484-7575
Practice Fax:

1114793437 — DR. DANIEL JACK MCALLISTER PHARMD
Practice Location Address:

MERCY PHARMACY FT. SMITH , 7301 ROGERS AVE
FORT SMITH, AR
72903

Practice Phone: 479-314-6142
Practice Fax: 479-314-6513

1285823229 — FT SMITH RHEUMATOLOGY PC
Practice Location Address:

3501 W.E. KNIGHT DR
FORT SMITH, AR
72903-6248

Practice Phone: 479-573-7800
Practice Fax: 479-709-7238

Directions to “ELITE 24 HEALTH GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.