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General NPI Number Information
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NPI Number | 1073486551
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Entity Type | Organization
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Legal Business Name | OPTIMAL HEALTH & MOVEMENT, LLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1 SHEAKLEY WAY
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City | SPRINGDALE
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State | OH
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Zip | 45246-3778
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Country | US
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Telephone | 513-444-8085
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Fax |
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Provider Business Mailing Address
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Address Line | 3497 AVALON TRL
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City | LEBANON
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State | OH
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Zip | 45036-7765
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Country | US
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Telephone | 513-444-8085
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE MANAGER
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Name | SALLY KAPPEN
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Credential | PT, MPT, CFMT
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Telephone | 513-444-8085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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