Organization
OPTIMAL PERFORMANCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON KATINA DPT, CSCS (OWNER)
(404) 449-6652
Entity
Organization
Contact information
Practice address
7031 LAKOTA DR, SPRING HILL, TN 37174-3098
(404) 449-6652
Mailing address
7031 LAKOTA DR, SPRING HILL, TN 37174-3098
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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