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General NPI Number Information
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NPI Number | 1275340846
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Entity Type | Individual
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Provider Name | MICHELLE KLONTZ AGNEW DPT
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 11001 AUSTIN LN
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City | AUSTIN
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State | TX
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Zip | 78758-1101
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Country | US
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Telephone | 737-204-6934
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Fax |
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Provider Business Mailing Address
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Address Line | 7601 GLENHILL CV
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City | AUSTIN
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State | TX
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Zip | 78752-2010
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Country | US
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Telephone |
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Fax |
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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 | 1323823
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License Number State | TX
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