Provider Demographics
NPI:1699881995
Name:SLAYTON, REBECCA SUE (DC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUE
Last Name:SLAYTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 GRANT AVE STE B
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-6198
Mailing Address - Country:US
Mailing Address - Phone:870-336-3333
Mailing Address - Fax:870-336-3332
Practice Address - Street 1:1903 GRANT AVE STE B
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6198
Practice Address - Country:US
Practice Address - Phone:870-336-3333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor