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General NPI Number Information
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NPI Number | 1134859176
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Entity Type | Organization
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Legal Business Name | RIGHT PATH PHYSICAL THERAPY AND PERFORMANCE ACADEMY LLC
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Dates
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Enumeration Date | 06/13/2022
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 1558 E BOULEVARD STE E
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City | KOKOMO
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State | IN
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Zip | 46902-2587
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Country | US
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Telephone | 765-432-3066
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Fax |
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Provider Business Mailing Address
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Address Line | 7528 E 300 S
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City | KOKOMO
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State | IN
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Zip | 46902-9395
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Country | US
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Telephone | 765-432-3066
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ABBEE RANAE SUMMERS
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Credential | PTA
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Telephone | 765-432-3066
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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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