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General NPI Number Information
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NPI Number | 1063635449
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Entity Type | Organization
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Legal Business Name | THEREX, INC.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 778 SCOGIN DR
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City | MONTICELLO
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State | AR
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Zip | 71655-5729
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Country | US
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Telephone | 870-460-3540
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Fax | 870-460-0531
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Provider Business Mailing Address
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Address Line | 341 COOL SPRINGS BLVD STE 450
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City | FRANKLIN
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State | TN
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Zip | 37067-7275
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Country | US
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Telephone | 615-236-2550
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Fax | 615-236-2552
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Authorized Official
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Title or Position | CEO
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Name | MR. MIKE SKIERA
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Credential |
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Telephone | 615-236-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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