Provider Demographics
NPI:1922108000
Name:TORRES, MATTHEW P (DC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:P
Last Name:TORRES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7307 ALCOA RD
Mailing Address - Street 2:STE 6
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-6220
Mailing Address - Country:US
Mailing Address - Phone:501-778-2121
Mailing Address - Fax:501-778-2129
Practice Address - Street 1:7307 ALCOA RD
Practice Address - Street 2:STE 206
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-6204
Practice Address - Country:US
Practice Address - Phone:501-778-2121
Practice Address - Fax:501-778-2129
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR15712111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor