Provider Demographics
NPI:1902471881
Name:OPTIMAL YOU HEALTH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:OPTIMAL YOU HEALTH AND WELLNESS, LLC
Other - Org Name:OPTIMAL YOU HEALTH AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:973-600-4726
Mailing Address - Street 1:35 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-3201
Mailing Address - Country:US
Mailing Address - Phone:973-600-4726
Mailing Address - Fax:
Practice Address - Street 1:35 BROWN RD
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-3201
Practice Address - Country:US
Practice Address - Phone:973-600-4726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy