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General NPI Number Information
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NPI Number | 1275498016
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Entity Type | Organization
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Legal Business Name | OPTIMUM THERAPIES, LLC
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 703 LAKELAND DR STE 1
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-1629
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Country | US
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Telephone | 715-855-0430
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Fax |
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Provider Business Mailing Address
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Address Line | 517 E CLAIREMONT AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6479
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | JODI DRAKE
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Credential |
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Telephone | 715-607-1758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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