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General NPI Number Information
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NPI Number | 1285541888
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Entity Type | Individual
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Provider Name | KYLEIGH YERGENSEN PTA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 792 S 3000 E STE 104
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City | ST GEORGE
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State | UT
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Zip | 84790-1801
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Country | US
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Telephone | 801-883-8203
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Fax |
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Provider Business Mailing Address
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Address Line | 1173 S 250 W STE 301
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City | ST GEORGE
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State | UT
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Zip | 84770-6753
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Country | US
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Telephone | 435-986-9369
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 11283909-2402
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License Number State | UT
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