Back 40 Chiropractic Clinic, Pllc
NPI #1033821467 in Bella Vista, Arkansas
Provider Information
- NPI Number
- 1033821467
- Entity Type
- Organization
- Organization Name
- Back 40 Chiropractic Clinic, Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Dec 16, 2022
- Last Updated
- Jun 14, 2023
Practice Location
- Address
- 3406 BELLA VISTA WAY
- City
- Bella Vista
- State
- Arkansas
- ZIP Code
- 72714-5700
- Phone
- (479) 888-8122
Authorized Official
- Name
- DR. MATTHEW PAUL TUTTLE, DC
- Title
- PRESIDENT
- Phone
- (479) 888-8122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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| DR. Jason Blackketter, D.C. | |
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Organizations
| Provider Name | |
|---|---|
| Bella Vista Back Center PA |
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