Optima Natural Health & Wellness, LLC
Organization Active NPI Chiropractor · Cumberland, WI
NPI 1497082663 · NPPES record last updated Nov 10, 2009
Key facts
- NPI
- 1497082663
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4251-012 (WI)
- Legal business name
- OPTIMA NATURAL HEALTH & WELLNESS, LLC
- Practice address
- 1320 2ND Ave
Cumberland, WI 54829 - Phone
- (715) 822-2500
- NPI assigned
- Nov 10, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Victoria M Kes, DC
- Title
- Owner
- Phone
- (715) 822-2500
Practitioners 1
-
Victoria Marie Kes, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4251-012 | WI | Yes |
Addresses
Primary practice location
1320 2ND Ave
Cumberland, WI 54829
Mailing address
PO Box 212
Cumberland, WI 54829-0212
Phone (715) 822-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38186000 | Medicaid | WI |
Other providers in Cumberland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.