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General NPI Number Information
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NPI Number | 1164365722
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Entity Type | Organization
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Legal Business Name | RED MESA MOBILITY PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 324 N 1680 E
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City | ST GEORGE
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State | UT
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Zip | 84790-2500
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Country | US
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Telephone | 719-688-1345
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Fax |
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Provider Business Mailing Address
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Address Line | 1597 S RIPPLE ROCK DR
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City | WASHINGTON
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State | UT
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Zip | 84780-3685
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Country | US
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Telephone | 719-688-1345
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. NICHOLAS R DURST
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Credential | DPT
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Telephone | 719-688-1345
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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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