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General NPI Number Information
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NPI Number | 1205727146
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Entity Type | Organization
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Legal Business Name | MOVEMENT EVOLVED PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 1455 W PARK AVE STE A
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City | REDLANDS
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State | CA
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Zip | 92373-8178
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Country | US
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Telephone | 909-657-9652
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Fax | 909-975-2791
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Provider Business Mailing Address
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Address Line | 1455 W PARK AVE STE A
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City | REDLANDS
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State | CA
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Zip | 92373-8178
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Country | US
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Telephone | 909-657-9652
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Fax | 909-975-2791
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | RACHAEL LYNN KEAST
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Credential |
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Telephone | 209-639-3165
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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 |
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License Number State |
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