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General NPI Number Information
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NPI Number | 1285554584
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Entity Type | Organization
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Legal Business Name | THE WELLNESS TRACK, LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 7595 BRIDGETOWN RD
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City | CINCINNATI
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State | OH
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Zip | 45248-2019
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Country | US
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Telephone | 513-822-5801
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Fax | 844-605-3317
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Provider Business Mailing Address
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Address Line | 7595 BRIDGETOWN RD
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City | CINCINNATI
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State | OH
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Zip | 45248-2019
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Country | US
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Telephone | 513-822-5801
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Fax | 844-605-3317
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Authorized Official
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Title or Position | OWNER/DOCTOR OF PHYSICAL THERAPY
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Name | JEANETTE MARIE DE WITT
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Credential | PT, ATC
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Telephone | 513-703-6766
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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