Individual
DR. BLAKE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1997 BATESVILLE BLVD, SOUTHSIDE, AR 72501-7896
(870) 613-1464
Mailing address
46 ATCHISON PL, SOUTHSIDE, AR 72501-8003
(501) 291-3164
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16269
AR
Other
Enumeration date
02/03/2021
Last updated
10/15/2021
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