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General NPI Number Information
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NPI Number | 1013339753
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Entity Type | Individual
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Provider Name | KATI EVANS D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 5206 W VILLAGE PKWY STE 6
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City | ROGERS
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State | AR
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Zip | 72758-8137
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Country | US
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Telephone | 479-936-2978
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Fax |
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Provider Business Mailing Address
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Address Line | 5089 S VAUGHN RD
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City | BENTONVILLE
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State | AR
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Zip | 72713-9490
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Country | US
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Telephone | 479-685-6768
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2013028662
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License Number State | MO
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