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General NPI Number Information
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NPI Number | 1346755741
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Entity Type | Organization
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Legal Business Name | DISCOVERY THROUGH MOVEMENT, LLC
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 4655 DOBIE RD STE 270
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City | OKEMOS
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State | MI
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Zip | 48864-6909
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Country | US
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Telephone | 517-402-1741
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Fax |
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Provider Business Mailing Address
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Address Line | 129 COX BLVD
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City | LANSING
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State | MI
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Zip | 48910-7401
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Country | US
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Telephone | 517-402-1741
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. BETH ANN SPITZLEY
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Credential | PHYSICAL THERAPIST
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Telephone | 517-402-1741
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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 | 5501007432
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License Number State | MI
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