Individual
DR. ALEXIS RACHEOTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3538 N HWY 112, FAYETTEVILLE, AR 72704-6093
(479) 443-9699
Mailing address
3538 N HWY 112, STE 2, FAYETTEVILLE, AR 72704-6093
(479) 443-9699
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1633
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y129
ABCBS
AR
Enumeration date
07/09/2006
Last updated
11/24/2009
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