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General NPI Number Information
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NPI Number | 1033668777
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Entity Type | Organization
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Legal Business Name | STEP WITH ME PHYSICAL THERAPY
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 6511 SPRING HAVEN TRCE
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City | OWENSBORO
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State | KY
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Zip | 42301-8026
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Country | US
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Telephone | 270-929-9396
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Fax |
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Provider Business Mailing Address
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Address Line | 6511 SPRING HAVEN TRCE
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City | OWENSBORO
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State | KY
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Zip | 42301-8026
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Country | US
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Telephone | 270-929-9396
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | ALISHA LYNN LANTRIP
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Credential | PT, DPT
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Telephone | 270-929-9396
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 006052
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License Number State | KY
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