Organization
ELITE 24 HEALTH GROUP
Active
Organization
ELITE 24 HEALTH GROUP
Active
Other names
Elite 24 Health Club/Chiropractic Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY ANN EZELL LMT, NMT, MMP (CLINIC OWNER)
(479) 452-0031
Entity
Organization
Contact information
Practice address
1200 S. WALDRON RD., SUITE 155, FT. SMITH, AR 72903
(479) 452-0031
(479) 452-0034
Mailing address
P.O. BOX 10585, FT. SMITH, AR 72917
(479) 452-0031
(479) 452-0034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/08/2008
Last updated
04/28/2009
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