Individual provider · Type 1 NPI
Jeremy Ray Johnson, DC
Chiropractor · Fayetteville, AR
NPI number
1801421409
Active
Practice location
4155 N Steele Blvd Ste 10
Fayetteville, AR 72703-5377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 16246 (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.
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About NPI 1801421409
Jeremy Ray Johnson, DC's National Provider Identifier is 1801421409, issued on Mar 4, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fayetteville, AR. The record was last updated on Mar 4, 2020.