DR. Jason Blackketter, D.C.

NPI #1063744365 in Bella Vista, Arkansas

Provider Information

NPI Number
1063744365
Entity Type
Individual
Name
DR. Jason Blackketter, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Feb 11, 2010
Last Updated
Feb 11, 2010

Practice Location

Address
10 STRATFIELD LN
ZIP Code
72714-5743
Phone
(479) 876-2042

Specialties & Taxonomy Codes

Specialty
Chiropractor

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