Healthcare Provider Details

I. General information

NPI: 1285554584
Provider Name (Legal Business Name): THE WELLNESS TRACK, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7595 BRIDGETOWN RD
CINCINNATI OH
45248-2019
US

IV. Provider business mailing address

7595 BRIDGETOWN RD
CINCINNATI OH
45248-2019
US

V. Phone/Fax

Practice location:
  • Phone: 513-822-5801
  • Fax: 844-605-3317
Mailing address:
  • Phone: 513-822-5801
  • Fax: 844-605-3317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE MARIE DE WITT
Title or Position: OWNER/DOCTOR OF PHYSICAL THERAPY
Credential: PT, ATC
Phone: 513-703-6766