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General NPI Number Information
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NPI Number | 1235680554
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Entity Type | Organization
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Legal Business Name | MUSCLES IN MOTION THERAPY, LLC
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 6150 BROWNING DR APT 26202
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-5386
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Country | US
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Telephone | 312-882-7386
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Fax |
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Provider Business Mailing Address
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Address Line | 6150 BROWNING DR APT 26202
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-5386
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Country | US
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Telephone | 312-882-7386
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPY
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Name | DR. KIMBERLY HOLLOWAY
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Credential | DPT
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Telephone | 312-882-7386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number | 1261798
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 1261798
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 1261798
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 1261798
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1261798
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1261798
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License Number State | TX
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