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General NPI Number Information
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NPI Number | 1285432674
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Entity Type | Organization
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Legal Business Name | MOTUS HEALTH WICHITA LLC
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 154 S ROCK RD
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City | WICHITA
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State | KS
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Zip | 67207-1152
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Country | US
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Telephone | 405-641-2716
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Fax |
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Provider Business Mailing Address
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Address Line | 1612 GARTH BROOKS BLVD STE 115
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City | YUKON
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State | OK
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Zip | 73099-7442
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Country | US
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Telephone | 405-494-0165
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Fax | 405-900-7044
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Authorized Official
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Title or Position | OWNER
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Name | JEREMY MAASS
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Credential | DC
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Telephone | 405-641-2716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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