Individual
SHANIE SPRING COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1200 FERGUSON DR STE 2, BENTON, AR 72015-2947
(501) 315-3310
Mailing address
164 STARBOARD CIR, HOT SPRINGS, AR 71901-9201
(501) 693-4904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16423
AR
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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