Provider Demographics
NPI:1952898983
Name:DWYER, WHITNEY TAYLAR (DIPL OM, LAC)
Entity type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:TAYLAR
Last Name:DWYER
Suffix:
Gender:F
Credentials:DIPL OM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 E HAMMOND ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72701-2516
Mailing Address - Country:US
Mailing Address - Phone:479-236-3078
Mailing Address - Fax:
Practice Address - Street 1:935 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72701-2010
Practice Address - Country:US
Practice Address - Phone:479-312-0461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR078171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist