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General NPI Number Information
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NPI Number | 1073361283
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Entity Type | Organization
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Legal Business Name | MOTION FORWARD PHYSICAL THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 05/11/2024
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 305 1ST AVE NE
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City | MINNEAPOLIS
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State | MN
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Zip | 55413-2205
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Country | US
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Telephone | 612-482-1086
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Fax | 952-333-8833
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Provider Business Mailing Address
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Address Line | 330 2ND AVE S STE 200
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City | MINNEAPOLIS
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State | MN
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Zip | 55401-2289
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Country | US
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Telephone | 612-482-1086
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Fax | 952-333-8833
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Authorized Official
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Title or Position | OWNER
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Name | LOGAN KOVACS
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Credential | PT, DPT
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Telephone | 608-469-7043
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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 |
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License Number State |
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