Healthcare Provider Details

I. General information

NPI: 1598628398
Provider Name (Legal Business Name): CRYSTAL HUFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3148 GRILL RD
NEW FRANKLIN OH
44216-9381
US

IV. Provider business mailing address

3148 GRILL RD
NEW FRANKLIN OH
44216-9381
US

V. Phone/Fax

Practice location:
  • Phone: 330-701-7765
  • Fax: 330-701-7765
Mailing address:
  • Phone: 330-701-7765
  • Fax: 330-701-7765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: