Individual provider · Type 1 NPI
Ty D. Russell, DC
Chiropractor · Gravette, AR
NPI number
1487961322
Active
Practice location
207 Atlanta Street S.e.
Gravette, AR 72736
Fax (479) 787-7444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 15,726 (AR) |
Chiropractor: 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.
Other chiropractor providers in Gravette
About NPI 1487961322
Ty D. Russell, DC's National Provider Identifier is 1487961322, issued on Sep 13, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gravette, AR. The record was last updated on Sep 17, 2014.