# DYNAMIC HEALTH & ORTHOTICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760757272
- **Authorized official:** DR. JOHN DEREK HOLLINGSWORTH D.O. (OWNER)
- **Authorized official phone:** (304) 760-8803

## Contact information

- **Practice address:** 3859 TEAYS VALLEY RD, HURRICANE, WV 25526-9622
- **Practice address phone:** (304) 760-8803
- **Practice address fax:** (304) 760-8825
- **Mailing address:** 3859 TEAYS VALLEY RD, HURRICANE, WV 25526-9622
- **Mailing address phone:** (304) 760-8803
- **Mailing address fax:** (304) 760-8825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | WV | Yes |

## Other

- **Enumeration date:** 03/16/2012
- **Last updated:** 03/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PLLC-124 | STATE OF WEST VIRGINIA-BOARD OF OSTEOPATHY | WV |