Organization Name: | BELLA VISTA BACK CENTER PA |
NPI Number: | 1801027529 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL L REYNOLDS (DOTOR OF CHIROPRACTIC) |
Mailing Address: | 2850 Bella Vista Way Bella Vista |
State: | AR US |
Postal Code: | 727143708 |
Phone Number: | 4798553553 |
Fax Number: | 4798557618 |
NPI Enumeration Date: | 07/29/2009 |
NPI Last Update Date: | 08/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 1376 |
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. |