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Organization

OPTIMAL MOVEMENT INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEQ BASHORE (OWNER/PHYSICAL THERAPIST)
(317) 727-0113
Entity
Organization

Contact information

Practice address
12292 HANCOCK ST, CARMEL, IN 46032-5805
(317) 727-0113
(317) 973-8121
Mailing address
12672 LIMBERLOST DR, CARMEL, IN 46033-9792
(317) 727-0113
(317) 973-8121

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
10/20/2025
Last updated
10/20/2025
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