MEDICARE: OPTIMAL HEALING CHIROPRACTIC CLINIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor
2	111N00000X	Chiropractor		AL

General Provider Information

NPI Number	:	1790215226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL HEALING CHIROPRACTIC CLINIC, LLC

Provider Business Mailing Address
First Line	:	300 OFFICE PARK DR STE 120
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-2415
Country	:	US
Telephone Number	:	205-949-7650
Fax Number	:	205-719-4043

Provider Business Practice Location Address
First Line	:	300 OFFICE PARK DR STE 120
Second Line	:
City	:	MOUNTAIN BRK
State	:	AL
Zip	:	35223-2415
Country	:	US
Telephone Number	:	205-949-7650
Fax Number	:	205-719-4343

Authorized Official
Title or Position	:	OWNER
Name	:	MORGAN STACY KING
Credential	:
Telephone Number	:	678-608-5931

Provider Enumeration Date	:	06/18/2017
Last Update Date	:	01/29/2026

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