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General NPI Number Information
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NPI Number | 1144156860
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Entity Type | Organization
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Legal Business Name | HK SPORTS PERFORMANCE
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 2514 CUTHBERTSON RD STE D
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City | WAXHAW
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State | NC
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Zip | 28173-6417
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Country | US
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Telephone | 704-544-5353
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Fax | 704-544-5353
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Provider Business Mailing Address
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Address Line | 2514 CUTHBERTSON RD STE D
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City | WAXHAW
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State | NC
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Zip | 28173-6417
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Country | US
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Telephone | 704-544-5353
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Fax | 704-544-5353
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA KOLLMANN
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Credential | DC
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Telephone | 704-544-5353
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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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