Provider Demographics
NPI:1457074056
Name:OPTIMAL HEALTH HOLDINGS
Entity Type:Organization
Organization Name:OPTIMAL HEALTH HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KREG
Authorized Official - Middle Name:DILLON
Authorized Official - Last Name:HUFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-401-2021
Mailing Address - Street 1:6631 COMMERCE PKWY STE R
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3239
Mailing Address - Country:US
Mailing Address - Phone:614-401-2021
Mailing Address - Fax:
Practice Address - Street 1:6631 COMMERCE PKWY STE R
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3239
Practice Address - Country:US
Practice Address - Phone:614-401-2021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty