OrganizationAlexis Racheotes Dc Pllc Sports Chiropractic & Acupuncture(Sports Chiropractic & Acupuncture)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 yesterday at 2:50 PM.Profile DetailsProvider ID1952508160Provider TypeOrganizationFull NameAlexis Racheotes Dc Pllc Sports Chiropractic & AcupunctureOther NameSports Chiropractic & AcupunctureSubpartNoEnumeration 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