Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner Daxton Gotschall

Individual provider Case Manager/Care Coordinator · NPI 1568260081

Tanner Daxton Gotschall is a Case Manager/Care Coordinator in Fayetteville, Arkansas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone: (479) 695-1240
Fax: (479) 695-1242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1568260081
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

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