| Power Spine & Sport Pa | |
| 
					2655 Donaghey Ave Ste 101, Conway, AR 72032-2344  | |
| (501) 459-5010 | |
| Not Available | 
| Full Name | Power Spine & Sport Pa | 
|---|---|
| Type | Facility | 
| Speciality | Chiropractor | 
| Location | 2655 Donaghey Ave Ste 101, Conway, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043908171 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary | 
| Provider Name | Mary Ruth Chandler | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1922078245 PECOS PAC ID: 2860387420 Enrollment ID: I20040220000982  | 
| Provider Name | Kevin C Smith | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1992737803 PECOS PAC ID: 7113926346 Enrollment ID: I20151117002230  | 
| Provider Name | Casie Ogden | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1578243861 PECOS PAC ID: 6507213089 Enrollment ID: I20231104000473  | 
| Provider Name | William Andrews | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1215702147 PECOS PAC ID: 7719339266 Enrollment ID: I20240119002180  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Power Spine & Sport Pa 1070 S Saint Louis St, Batesville, AR 72501-7223 Ph: (870) 307-4798  | Power Spine & Sport Pa 2655 Donaghey Ave Ste 101, Conway, AR 72032-2344 Ph: (501) 459-5010  | 
Mr. Jaymond Ryan Clark, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2100 Meadowlake Rd Ste 10, Conway, AR 72032 Phone: 501-513-3322 Fax: 501-513-3065  | |
Dr. Tara Lynn Gardner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 813 Oak St, Suite 7, Conway, AR 72032 Phone: 501-329-2700 Fax: 501-329-5282  | |
Dr. Lee W Hodge, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 797 Teal Drive, Conway, AR 72034 Phone: 501-329-2774 Fax: 501-327-0907  | |
Conway Injury Center Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2915 Dave Ward Dr, Suite 8, Conway, AR 72034 Phone: 501-205-1933 Fax: 501-358-5004  | |
Dr. Thomas Ethan Hall, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 675 Dave Ward Dr Ste 105, Conway, AR 72034 Phone: 501-504-6280  | |
Gardner Chiropractic Clinic, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 813 Oak Street, Suite 7, Conway, AR 72032 Phone: 501-329-2700 Fax: 501-329-5282  |