MEDICARE: DR. TERESA R TICE DC

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	1426	AR
2	111N00000X	Chiropractor	1151	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	57685	OTHER		GROUP #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780656553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESA R TICE DC

Provider Business Mailing Address
First Line	:	1211 HWY 133 NORTH
Second Line	:
City	:	CROSSETT
State	:	AR
Zip	:	71635
Country	:	US
Telephone Number	:	870-364-9540
Fax Number	:	870-364-9840

Provider Business Practice Location Address
First Line	:	1211 HWY 133 NORTH
Second Line	:
City	:	CROSSETT
State	:	AR
Zip	:	71635
Country	:	US
Telephone Number	:	870-364-9540
Fax Number	:	870-364-9840

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	07/27/2010

Similar Medicare Providers

1700880366 — DR. PHILLIP L RINDT M.D.
Practice Location Address:

1003 FRED LAGRONE DR
CROSSETT, AR
71635-4546

Practice Phone: 870-364-8062
Practice Fax:

1386648954 — DR. ZBIGNIEW JAN KULA M.D.
Practice Location Address:

1003 FRED LAGRONE DR
CROSSETT, AR
71635-4546

Practice Phone: 870-364-3474
Practice Fax: 870-364-3811

1578567111 — CROSSETT HEALTH FOUNDATION
Practice Location Address:

1003 FRED LAGRONE DR
CROSSETT, AR
71635-4546

Practice Phone: 870-364-9519
Practice Fax: 870-304-2156

1992700298 — JAMIE LYNN RINDT PA
Practice Location Address:

1003 FRED LAGRONE DR
CROSSETT, AR
71635-4546

Practice Phone: 870-364-8062
Practice Fax: 870-304-2156

1952308215 — CROSSETT HEALTH FOUNDATION
Practice Location Address:

1015 UNITY RD
CROSSETT, AR
71635-9443

Practice Phone: 870-364-4111
Practice Fax: 870-364-3636

1003813890 — DR. BILLY D GAMMEL PD
Practice Location Address:

909 UNITY RD
CROSSETT, AR
71635-9444

Practice Phone: 870-364-5100
Practice Fax: 870-364-5120

1255339990 — CROSSETT HEALTH FOUNDATION
Practice Location Address:

211 PINE ST
CROSSETT, AR
71635

Practice Phone: 870-364-5555
Practice Fax: 870-364-5577

Directions to “ DR. TERESA R TICE DC” 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.