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NPI 1306793179

NPI 1306793179 : THE PELVIC SHIFT PLLC : ABILENE, TX

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General NPI Number Information
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    NPI Number           |    1306793179
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE PELVIC SHIFT PLLC 
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Dates
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    Enumeration Date     |    03/11/2026
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    Last Update Date     |    03/11/2026
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Provider Practice Location Address
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    Address Line         |    1234 N TREADAWAY BLVD 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79601-4321
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    Country              |    US
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    Telephone            |    806-334-2008
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    244 BELLA WAY 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79602-1558
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    Country              |    US
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    Telephone            |    806-334-2008
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, DOCTOR OF PHYSICAL THERAPY
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    Name                 |     SHALEY JO GOAD 
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    Credential           |    DPT
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    Telephone            |    806-334-2008
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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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