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General NPI Number Information
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NPI Number | 1114653904
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Entity Type | Organization
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Legal Business Name | HEALING HANDS PHYSICAL THERAPY AND BODY WORK
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 20446 COOKE DR
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City | RENO
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State | NV
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Zip | 89521-9706
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Country | US
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Telephone | 775-453-0172
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Fax |
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Provider Business Mailing Address
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Address Line | 20446 COOKE DR
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City | RENO
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State | NV
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Zip | 89521-9706
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Country | US
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Telephone | 775-453-0172
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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. JAMIE PRIBYL
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Credential | PT, DPT, MTC
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Telephone | 775-453-0172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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