Provider Demographics
NPI:1174392740
Name:HOTTIE HAIR INC
Entity type:Organization
Organization Name:HOTTIE HAIR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:FREHNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-979-4468
Mailing Address - Street 1:7871 W CHARLESTON BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8337
Mailing Address - Country:US
Mailing Address - Phone:702-979-4468
Mailing Address - Fax:
Practice Address - Street 1:7871 W CHARLESTON BLVD STE 160
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8337
Practice Address - Country:US
Practice Address - Phone:702-979-4468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Single Specialty