Provider Demographics
NPI:1568347177
Name:THE ULTIMATE WELLNESS GROUP
Entity type:Organization
Organization Name:THE ULTIMATE WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AKILI
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-370-2212
Mailing Address - Street 1:3610 BUTTONWOOD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-3721
Mailing Address - Country:US
Mailing Address - Phone:832-370-2212
Mailing Address - Fax:832-201-7011
Practice Address - Street 1:3610 BUTTONWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-3721
Practice Address - Country:US
Practice Address - Phone:832-370-2212
Practice Address - Fax:832-201-7011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty