Individual
DR. LARRY SHANE MANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
117 S DIXIELAND ST STE B, LOWELL, AR 72745-8658
(479) 366-4147
Mailing address
540 TAMARRON DR, CENTERTON, AR 72719-8978
(479) 366-4147
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16295
AR
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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