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General NPI Number Information
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NPI Number | 1306556030
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Entity Type | Organization
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Legal Business Name | WHITMARSH HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 16 1ST AVE NW
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City | KASSON
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State | MN
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Zip | 55944-1471
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Country | US
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Telephone | 507-339-5239
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Fax |
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Provider Business Mailing Address
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Address Line | 305 13TH AVE NW
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City | KASSON
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State | MN
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Zip | 55944-9418
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Country | US
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Telephone | 507-995-8571
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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 | DR. CRYSTAL L. WHITMARSH
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Credential | PT, DPT
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Telephone | 507-995-8571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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