MEDICARE: DR. RYLAND WEUM 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	12456	AR
2	111N00000X	Chiropractor	CHI-CHI-LIC-6717	MT

General Provider Information

NPI Number	:	1891385092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYLAND WEUM DC

Provider Business Mailing Address
First Line	:	5305 W VILLAGE PKWY STE 12
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5305 W VILLAGE PKWY STE 12
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-8116
Country	:	US
Telephone Number	:	479-405-4015
Fax Number	:

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

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	01/13/2026

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Directions to “ DR. RYLAND WEUM DC” Practice Location

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