Healthcare Provider Details

I. General information

NPI: 1164570917
Provider Name (Legal Business Name): REX D. HUFFER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 NORTH DETROIT STREET
WEST LIBERTY OH
43357
US

IV. Provider business mailing address

128 NORTH DETROIT STREET PO BOX 752
WEST LIBERTY OH
43357
US

V. Phone/Fax

Practice location:
  • Phone: 937-465-2500
  • Fax: 937-465-2505
Mailing address:
  • Phone: 937-465-2500
  • Fax: 937-465-2505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1321
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: