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Organization
OMNIA FUNCTION LLC
Active
Organization
OMNIA FUNCTION LLC
Active
Other names
FWDfuel Sports Nutrition, FWDfuel Sports Nutrition & Physical Therapy, FWDfuel Health Optimization
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K. E. BOGDEN DPT (CEO AND CO-FOUNDER - PT)
(419) 366-3163
Entity
Organization
Contact information
Practice address
533 VINELAND RD, BAY VILLAGE, OH 44140-2873
(419) 366-3163
Mailing address
533 VINELAND RD, BAY VILLAGE, OH 44140-2873
(419) 366-3163
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
NULL
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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