Provider Demographics
NPI:1184770836
Name:GARRETT, NATASHA LYN (DC)
Entity type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:LYN
Last Name:GARRETT
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:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:PLEASANT PLAINS
Mailing Address - State:AR
Mailing Address - Zip Code:72568-0201
Mailing Address - Country:US
Mailing Address - Phone:501-345-0353
Mailing Address - Fax:
Practice Address - Street 1:6079 BATESVILLE BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT PLAINS
Practice Address - State:AR
Practice Address - Zip Code:72568-9787
Practice Address - Country:US
Practice Address - Phone:501-345-0353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1691111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor