Organization
ROOTED HEALTH HORMONES & MEDSPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADONNA WALKER APRN (OWNER)
(479) 880-6148
Entity
Organization
Contact information
Practice address
1120 HOGAN LN, CONWAY, AR 72034-8119
(501) 261-0179
Mailing address
1120 HOGAN LN STE B2, CONWAY, AR 72034-8216
(479) 880-6148
(479) 765-1396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033841226
NPI
AR
01
—
1578976908
NPI
AR
Enumeration date
09/12/2024
Last updated
01/24/2026
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