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OPTIMAL AQUA THERAPY, LLC
NPI 1700408192
Internal Medicine in Cheyenne, WY

Active since May 08, 2020
611 E CARLSON ST STE 117D, CHEYENNE, WY 82009(307) 514-0510(307) 514-2941 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Optimal Aqua Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMAL AQUA THERAPY, LLC (NPI 1700408192) is a healthcare organization registered as an internal medicine in Cheyenne, Wyoming and active in the NPI registry since May 2020. The organization lists Paul Jordan Washburn, Director, as its authorized official.

NPPES Registry Identity

NPI1700408192
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOPTIMAL AQUA THERAPY, LLC
Location Address611 E CARLSON ST STE 117DCheyenne, WY 82009-4311
Mailing Address611 E Carlson St Ste 117dCheyenne, WY 82009-4311 · (307) 514-0510 · Fax (307) 514-2941
Phone(307) 514-0510
Fax(307) 514-2941
Organization SubpartNo
Authorized OfficialPaul Jordan WashburnDirector · (307) 514-0510
Enumeration DateMay 8, 2020
NPPES CertifiedMay 8, 2020
✔ NPI 1700408192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
611 E CARLSON ST STE 117D, Cheyenne, WY 82009
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimal Aqua Therapy, LLC's NPI number?

The NPI number for Optimal Aqua Therapy, LLC is 1700408192. It was assigned to this organization in the NPPES registry on May 8, 2020.

Where is Optimal Aqua Therapy, LLC located?

Optimal Aqua Therapy, LLC is located at 611 E Carlson St Ste 117D, Cheyenne, WY 82009. The listed phone number is (307) 514-0510.

What is Optimal Aqua Therapy, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Optimal Aqua Therapy, LLC was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.