OrganizationAlexis Racheotes Dc Pllc Sports Chiropractic & Acupuncture(<Unavail>)ChiropractorChiropractic ProvidersPractice Address3538 N Highway 112 Ste 2, Fayetteville, AR 72704-6093(479) 443-9699PECOS EnrollmentBased on the most recent information from CMS, provider Alexis Racheotes Dc Pllc Sports Chiropractic & Acupuncture does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1952508160Provider TypeOrganizationFull NameAlexis Racheotes Dc Pllc Sports Chiropractic & AcupunctureOther Name<Unavail>SubpartNoEnumeration Date6/29/2007Last Updated11/10/2009Contact InformationPractice LocationPractice Address3538 N Highway 112 Ste 2, Fayetteville, AR 72704-6093Phone(479) 443-9699FaxUnlisted FaxMailing LocationMailing Address3538 N Highway 112 Ste 2, Fayetteville, AR 72704-6093Phone(479) 443-9699FaxUnlisted FaxAuthorized OfficialNameRacheotes, Alexis (Owner)Phone(479) 443-9699Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense1633ArkansasProvider IdentifiersIDDescriptionIssuerID5F206DescriptionOtherIssuerABCBSArkansas