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General NPI Number Information
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NPI Number | 1265776199
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Entity Type | Individual
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Provider Name | ALYSSA KATE MCCLURE PT DPT
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 13151 MAGISTERIAL DR STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40223-4103
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Country | US
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Telephone | 502-587-1236
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Fax | 502-587-0126
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Provider Business Mailing Address
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Address Line | PO BOX 32486
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City | LOUISVILLE
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State | KY
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Zip | 40232-2486
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Country | US
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Telephone | 502-587-1236
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Fax | 502-587-0126
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CP031100T
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP025837T
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP024435T
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008245
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License Number State | KY
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