Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TY D RUSSELL, D.C.
ActiveDR. TY D RUSSELL, D.C. is a Chiropractor healthcare provider located in GRAVETTE, Arkansas. NPI 1487961322 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · GRAVETTE, AR
Registration Details
- NPI Number
- 1487961322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2010 (15.882838365352 yrs)
- Last Updated
- Sep 17, 2014
- License
-
15,726 (AR)
Practice Information
- Address
-
207 ATLANTA STREET S.E.GRAVETTE, AR, 72736Browse AR providers · Browse ZIP 72736
- Phone
- 4797877555
- Fax
- 4797877444
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in GRAVETTE, AR
| Name | Credential | NPI |
|---|---|---|
| ERIC SHAWN BAILEY | DC | 1649266305 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.