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Dr. Ty D Russell, DC
Chiropractor in Gravette, Arkansas
NPI 1487961322

Ty D Russell is a Chiropractor based in Gravette, AR. Ty D Russell practices in Gravette, AR and has the professional credentials of DC. The NPI Number for Ty D Russell is 1487961322 and holds a License No. 15,726 (Arkansas).

The current practice location address for Ty D Russell is 207 Atlanta Street S.e., Gravette, AR and can be reached out via phone at 479-787-7555 and via fax at 479-787-7444.

Location: 207 Atlanta Street S.e., Gravette, AR, 72736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487961322
Provider Name
Ty D Russell
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
207 Atlanta Street S.e., Gravette, AR, 72736
Phone Number
479-787-7555
Fax Number
479-787-7444
Provider Enumeration Date
09/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
207 Atlanta Street S.e.
City
Gravette
State
Arkansas
Zip
72736
Phone Number
479-787-7555
Fax Number
479-787-7444
person
Provider Business Mailing Address Details
Address
207 Atlanta Street S.e.
City
Gravette
State
Arkansas
Zip
72736
Phone Number
479-787-7555
Fax Number
479-787-7444
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
15,726 (Arkansas)
Definition
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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