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NPI 1275452617

NPI 1275452617 : UNLOCK PERFORMANCE AND REHAB : WENATCHEE, WA

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General NPI Number Information
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    NPI Number           |    1275452617
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNLOCK PERFORMANCE AND REHAB 
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Dates
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    Enumeration Date     |    07/10/2026
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    Last Update Date     |    07/10/2026
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Provider Practice Location Address
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    Address Line         |    1544 N WENATCHEE AVE STE 200 
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    City                 |    WENATCHEE
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    State                |    WA
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    Zip                  |    98801-8413
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    Country              |    US
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    Telephone            |    509-906-1216
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    100 N HOWARD ST STE R 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99201-0508
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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    |    OWNER, PHYSICAL THERAPIST
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    Name                 |     MATHEW ANTHONY MCCLANAHAN 
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    Credential           |    PT, DPT, OCS
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    Telephone            |    314-973-7464
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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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