Provider Demographics
NPI:1134685449
Name:OPTIMAL HEALTH INC.
Entity Type:Organization
Organization Name:OPTIMAL HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCHUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:574-551-1148
Mailing Address - Street 1:1419 COUNTRY CLUB DR E
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-5050
Mailing Address - Country:US
Mailing Address - Phone:574-551-1148
Mailing Address - Fax:310-870-3906
Practice Address - Street 1:1419 COUNTRY CLUB DR E
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-5050
Practice Address - Country:US
Practice Address - Phone:574-551-1148
Practice Address - Fax:310-870-3906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty