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General NPI Number Information
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NPI Number | 1164370755
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Entity Type | Organization
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Legal Business Name | EDEN PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 309 2ND ST
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City | MIDWAY
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State | KY
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Zip | 40347-1110
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Country | US
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Telephone | 859-300-4255
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Fax | 859-212-9230
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Provider Business Mailing Address
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Address Line | 309 2ND ST
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City | MIDWAY
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State | KY
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Zip | 40347-1110
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Country | US
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Telephone | 859-300-4255
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Fax | 859-212-9230
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/FOUNDER
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Name | EMMA RAMSEY
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Credential | PT, DPT
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Telephone | 859-300-4255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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