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General NPI Number Information
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NPI Number | 1003014598
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Entity Type | Organization
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Legal Business Name | THERAPY PLUS
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 02/08/2012
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Provider Practice Location Address
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Address Line | 1015 CAMPBELL WAY
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City | SEYMOUR
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State | TN
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Zip | 37865-6615
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Country | US
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Telephone | 865-573-5557
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Fax | 865-522-3218
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Provider Business Mailing Address
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Address Line | 1015 CAMPBELL WAY
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City | SEYMOUR
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State | TN
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Zip | 37865-6615
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Country | US
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Telephone | 865-573-5557
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Fax | 865-522-3218
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. KELLY JAY FERRIS
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Credential | PT
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Telephone | 865-522-3737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 3641
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License Number State | TN
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