Provider Demographics
NPI:1497639603
Name:TOMERLIN, CHRIS WAYNE (LMT)
Entity type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:WAYNE
Last Name:TOMERLIN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6702 W LAKE INVERNESS CT
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8975
Mailing Address - Country:US
Mailing Address - Phone:870-831-2751
Mailing Address - Fax:
Practice Address - Street 1:1271 N STEAMBOAT DR STE 1
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-6263
Practice Address - Country:US
Practice Address - Phone:479-435-6834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9422225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist