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NPI 1154368959

NPI 1154368959 : AUSTIN MANUAL THERAPY ASSOCIATES, PC : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1154368959
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    Entity Type          |    Organization 
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    Legal Business Name  |    AUSTIN MANUAL THERAPY ASSOCIATES, PC 
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Dates
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    Enumeration Date     |    06/01/2006
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    Last Update Date     |    05/13/2025
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Provider Practice Location Address
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    Address Line         |    3508 FAR WEST BLVD SUITE 240
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-3080
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    Country              |    US
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    Telephone            |    512-832-9411
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    Fax                  |    512-832-9401
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Provider Business Mailing Address
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    Address Line         |    3508 FAR WEST BLVD SUITE 240
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-3080
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    Country              |    US
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    Telephone            |    512-832-9411
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    Fax                  |    512-832-9401
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JAMES T HARRIS 
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    Credential           |    PT, OCS, FAAOMPT
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    Telephone            |    512-832-9411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    1141844
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    1150471
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    License Number State |    TX
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