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Organization

ELEVATE MUSCLE & JOINT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KODY L CHASTAIN DC (OWNER, CHIROPRACTIC DR)
(479) 234-0463
Entity
Organization

Contact information

Practice address
60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
(479) 234-0463
Mailing address
60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1822
(479) 234-0463

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
12/31/2025
Last updated
05/01/2026
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