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General NPI Number Information
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NPI Number | 1154787828
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Entity Type | Organization
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Legal Business Name | MOVEMENT MASSATE THERAPY
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 11398 BANDERA RD SUITE 204
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City | SAN ANTONIO
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State | TX
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Zip | 78250-6840
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Country | US
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Telephone | 210-290-5530
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Fax |
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Provider Business Mailing Address
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Address Line | 11398 BANDERA RD SUITE 204
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City | SAN ANTONIO
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State | TX
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Zip | 78250-6840
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Country | US
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Telephone | 210-290-5530
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MR. MATTHEW MCGARITY JR.
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Credential | L.M.T., M.M.P.
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Telephone | 210-290-5530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT121559
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License Number State | TX
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