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General NPI Number Information
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NPI Number | 1144157587
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Entity Type | Organization
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Legal Business Name | RTP SPORTS LLC
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 320 E YOUNG AVE STE 320C
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City | WARRENSBURG
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State | MO
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Zip | 64093-1265
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Country | US
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Telephone | 806-477-2437
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Fax |
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Provider Business Mailing Address
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Address Line | 1675 NW 785TH RD
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City | BATES CITY
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State | MO
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Zip | 64011-9110
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Country | US
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Telephone | 806-477-2437
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEREMY CARVER
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Credential | DPT
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Telephone | 806-477-2437
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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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