Provider Demographics
NPI:1235710567
Name:GPS CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:GPS CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:GRACEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-317-4145
Mailing Address - Street 1:122 N FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:RECTOR
Mailing Address - State:AR
Mailing Address - Zip Code:72461-1422
Mailing Address - Country:US
Mailing Address - Phone:870-317-4145
Mailing Address - Fax:
Practice Address - Street 1:118 W 4TH ST
Practice Address - Street 2:
Practice Address - City:RECTOR
Practice Address - State:AR
Practice Address - Zip Code:72461-1310
Practice Address - Country:US
Practice Address - Phone:870-595-3538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service