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NPI 1285499400

NPI 1285499400 : EMILY ALEXANDRA TRICK DPT : CROSSVILLE, TN

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General NPI Number Information
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    NPI Number           |    1285499400
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY ALEXANDRA TRICK DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/16/2024
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    129 WALKER HILL ST 
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    City                 |    CROSSVILLE
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    State                |    TN
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    Zip                  |    38555-5484
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    Country              |    US
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    Telephone            |    931-787-1715
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    Fax                  |    931-218-6996
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Provider Business Mailing Address
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    Address Line         |    2001 BUTTERFIELD RD STE 1600 
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    City                 |    DOWNERS GROVE
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    State                |    IL
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    Zip                  |    60515-1211
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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       |    16936
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    License Number State |    TN
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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       |    PT020518
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    License Number State |    OH
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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       |    
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    License Number State |    WA
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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       |    CP048094T
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    License Number State |    VA
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