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Organization

OPTIMUM HEALTH AND WELLNESS PHYSICAL THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY CHICK (OWNER)
(907) 268-3136
Entity
Organization

Contact information

Practice address
4079 TONGASS AVE STE 102, KETCHIKAN, AK 99901-5559
(907) 225-7808
(907) 247-7868
Mailing address
4079 TONGASS AVE STE 102, KETCHIKAN, AK 99901-5559
(907) 225-7808
(907) 247-7868

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
842
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1571468
AK
Enumeration date
02/11/2011
Last updated
01/19/2026
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