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General NPI Number Information
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NPI Number | 1174429278
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Entity Type | Organization
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Legal Business Name | CORNERSTONE THERAPY AND BALANCE CENTER OF CARTHAGE
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Dates
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Enumeration Date | 10/15/2026
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Last Update Date | 10/15/2026
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Provider Practice Location Address
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Address Line | 442 W PANOLA ST
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City | CARTHAGE
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State | TX
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Zip | 75633-2520
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Country | US
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Telephone | 318-465-3391
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Fax |
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Provider Business Mailing Address
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Address Line | 8961 YOUREE DR
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City | SHREVEPORT
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State | LA
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Zip | 71115-3001
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Country | US
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Telephone | 318-465-3391
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Fax |
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Authorized Official
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Title or Position | PT/CO-OWNER
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Name | COAN ALAN KNIGHT
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Credential | PT
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Telephone | 318-465-3391
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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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