Healthcare Provider Details

I. General information

NPI: 1063440741
Provider Name (Legal Business Name): REX A HUFFMAN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 N HIGH ST STE A
HILLSBORO OH
45133-8501
US

IV. Provider business mailing address

902 N HIGH ST STE A
HILLSBORO OH
45133-8501
US

V. Phone/Fax

Practice location:
  • Phone: 937-402-4203
  • Fax: 937-402-4206
Mailing address:
  • Phone: 937-402-4203
  • Fax: 937-402-4206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3390
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: