Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optimal Aqua Therapy, LLC

Organization Internal Medicine Physician · NPI 1700408192

Optimal Aqua Therapy, LLC is an Internal Medicine Physician in Cheyenne, Wyoming. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 E Carlson St Ste 117D
Cheyenne, WY 82009-4311
Phone: (307) 514-0510
Fax: (307) 514-2941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1700408192
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Washburn — Director · (307) 514-0510
NPI enumeratedMay 8, 2020
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020
Mailing address611 E Carlson St Ste 117d, Cheyenne, WY 82009-4311

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