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General NPI Number Information
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NPI Number | 1093515835
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Entity Type | Individual
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Provider Name | KATHERINE MICKALOWSKI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 3425 S CLARKSON ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2811
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Country | US
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Telephone | 303-789-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 1442 S YORK ST
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City | DENVER
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State | CO
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Zip | 80210-2411
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Country | US
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Telephone |
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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 | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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