Provider Demographics
NPI:1235501552
Name:GARRETT CHIROPRACTIC INC
Entity Type:Organization
Organization Name:GARRETT CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:501-345-0353
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:PLEASANT PLAINS
Mailing Address - State:AR
Mailing Address - Zip Code:72568-0201
Mailing Address - Country:US
Mailing Address - Phone:501-345-0353
Mailing Address - Fax:
Practice Address - Street 1:6079 BATESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT PLAINS
Practice Address - State:AR
Practice Address - Zip Code:72568
Practice Address - Country:US
Practice Address - Phone:501-345-0353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1691111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty