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General NPI Number Information
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NPI Number | 1114885357
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Entity Type | Organization
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Legal Business Name | KANDOR PHYSICAL THERAPY & PELVIC HEALTH LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 8951 CROSSROADS BLVD STE 213
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City | CHANHASSEN
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State | MN
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Zip | 55317-7001
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Country | US
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Telephone | 952-395-7461
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Fax | 952-693-0630
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Provider Business Mailing Address
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Address Line | 1219 SUGARBUSH LN
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City | WACONIA
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State | MN
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Zip | 55387-1248
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Country | US
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Telephone | 952-395-7461
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Fax | 952-693-0630
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | DR. KELSEY NOWAK
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Credential | PT, DPT, PRPC
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Telephone | 952-395-7461
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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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