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General NPI Number Information
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NPI Number | 1083173850
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Entity Type | Organization
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Legal Business Name | MOBILITY THERAPY AND FITNESS
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 06/28/2019
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Provider Practice Location Address
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Address Line | 6959 KETCHUM DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-9406
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Country | US
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Telephone | 719-229-6596
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Fax | 719-497-6044
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Provider Business Mailing Address
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Address Line | 6959 KETCHUM DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80911-9406
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Country | US
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Telephone | 719-229-6596
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Fax | 719-497-6044
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Authorized Official
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Title or Position | OWNER/OPERATOR/CLINICIAN.
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Name | MARCUS BARNETT
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Credential | P.T.A.
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Telephone | 719-229-6596
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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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