Provider Demographics
NPI:1972970960
Name:MITCHELL, HAYLEY (DC)
Entity type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:
Last Name:MITCHELL
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 1:550 LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:CENTERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72719-8977
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3201 S MARKET ST
Practice Address - Street 2:SUITE 105
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8112
Practice Address - Country:US
Practice Address - Phone:479-715-6772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor