Organization Name: | SIMMONS CHIROPRACTIC CLINIC, P. A. |
NPI Number: | 1275763609 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY RICARDO (OFFICE MANAGER) |
Mailing Address: | 23253 I 30 Bryant |
State: | AR US |
Postal Code: | 720222571 |
Phone Number: | 5018477246 |
Fax Number: | 5016537248 |
NPI Enumeration Date: | 07/20/2009 |
NPI Last Update Date: | 07/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 794 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |