OrganizationActive
Dynamic Pain & Wellness LLC
NPI 1386123560 · Pain Medicine Physician · Mobile, AL
Provider details
- NPI number
- 1386123560
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Dynamic Pain & Wellness PLLC
- Organization subpart
- Yes
- Authorized official
- Trista Elliott, Credentialing(850) 226-6801
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4724 Airport Blvd
Mobile, AL 36608-3134
Phone: (850) 226-6801
Fax: (877) 413-5104
Approximate (ZIP-level) locationGet directions
Mailing address
930 Mar Walt Drive
Fort Walton Beach, FL 32547
Registry dates
- Enumerated
- 2018-08-09
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.