Dynamic Pain & Wellness LLC
Specialist in Crestview, FL. Organization (NPI-2).
NPI number1861963290
StatusActive
Last updated in NPPESMay 1, 2026
Details
- NPI
- 1861963290
- Entity type
- Organization (NPI-2)
- Legal business name
- Dynamic Pain & Wellness LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 11, 2018
- Certification date
- May 1, 2026
- Last updated
- May 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
210 S Main StCrestview, FL 32536-3737
Phone 850-226-6801 · Fax 877-413-5104
Mailing address
210 S Main StCrestview, FL 32536-3737
Phone 850-226-6801 · Fax 877-413-5104
Authorized official
Sarah Bailey
Credentialing
8502266801
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All 9 Specialist providers in Crestview · All 1,137 providers in Crestview
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