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General NPI Number Information
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NPI Number | 1144119165
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Entity Type | Individual
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Provider Name | ANDREA WATTIER PT,DPT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 905 N CUSTER AVE
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4304
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Country | US
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Telephone | 308-398-2170
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Fax | 308-398-5232
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Provider Business Mailing Address
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Address Line | PO BOX 5285
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City | GRAND ISLAND
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State | NE
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Zip | 68802-5285
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Country | US
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Telephone | 308-675-1853
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Fax | 308-210-4121
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4817
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License Number State | NE
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