Search › Arkansas › 111N00000X
Ty Russell, D.C
NPI 1487961322 · on the registry since 2010
Practice
- Address
- 207 Atlanta Street S.E.
Gravette, AR 72736 - Phone
- (479) 787-7555
- Fax
- (479) 787-7444
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas