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General NPI Number Information
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NPI Number | 1285621565
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Entity Type | Organization
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Legal Business Name | BODIES IN MOTION PHYSICAL THERAPY AND WELLNESS INC.
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 2499 S DELAWARE AVE
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City | MILWAUKEE
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State | WI
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Zip | 53207-1941
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Country | US
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Telephone | 414-482-2469
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Fax | 414-747-8686
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Provider Business Mailing Address
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Address Line | 2499 S DELAWARE AVE
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City | MILWAUKEE
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State | WI
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Zip | 53207-1941
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Country | US
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Telephone | 414-482-2469
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Fax | 414-482-2748
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KATHLEEN ANN HOWELL
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Credential | PT
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Telephone | 414-482-2469
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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 | 4554024
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License Number State | WI
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