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General NPI Number Information
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NPI Number | 1093698722
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Entity Type | Organization
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Legal Business Name | REFORM PHYSICAL THERAPY & WELLNESS, LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 510 W CARMEL DR
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City | CARMEL
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State | IN
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Zip | 46032-2566
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Country | US
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Telephone | 812-320-1583
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Fax |
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Provider Business Mailing Address
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Address Line | 2415 N TALBOTT ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-4351
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Country | US
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Telephone | 812-320-1583
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARRIE WEBB
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Credential | PT, DPT, ATC
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Telephone | 812-320-1583
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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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