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General NPI Number Information
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NPI Number | 1609780436
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Entity Type | Organization
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Legal Business Name | OPTIMUM BODYWORKS, INC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 3670 S NEW HOPE RD STE 2
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City | GASTONIA
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State | NC
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Zip | 28056-8597
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Country | US
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Telephone | 704-838-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 3670 S NEW HOPE RD STE 2 SUITE 2
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City | GASTONIA
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State | NC
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Zip | 28056-8597
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Country | US
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Telephone | 704-838-5505
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Fax |
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Authorized Official
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Title or Position | OWNER/MASSAGE THERAPIST
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Name | TINA MARIE FESQUET
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Credential | LMBT
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Telephone | 704-838-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State | NULL
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