# LIFTING LGNDZ

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

## Provider details

- **NPI number:** 1770452534
- **Authorized official:** MR. DARYL RASHAUN SPENCER (HUMAN MOVEMENT SPECIALIST)
- **Authorized official phone:** (513) 913-3316

## Contact information

- **Practice address:** 10547 MONTGOMERY RD, MONTGOMERY, OH 45242-4418
- **Practice address phone:** (513) 913-3316
- **Mailing address:** 339 WALNUT LN, MASON, OH 45040-2012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Y00000X | Clinical Exercise Physiologist | — | NULL | Yes |
| 224Y00000X | Clinical Exercise Physiologist | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2025
- **Last updated:** 10/31/2025