# MOVEMENT OPTIMIZATION THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083370407
- **Authorized official:** KAYLA B BACH MOTR/L (OCCUPATIONAL THERAPIST/OWNER)
- **Authorized official phone:** (970) 690-6696

## Contact information

- **Practice address:** 37160 DICKERSON RUN, SEVERANCE, CO 80550-8403
- **Practice address phone:** (970) 690-6696
- **Practice address fax:** (970) 449-0525
- **Mailing address:** 37160 DICKERSON RUN, SEVERANCE, CO 80550-8403
- **Mailing address phone:** (970) 690-6696
- **Mailing address fax:** (970) 449-0525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2021
- **Last updated:** 11/10/2021