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General NPI Number Information
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NPI Number | 1346820669
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Entity Type | Organization
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Legal Business Name | FAITH IN MOTION PERFORMANCE THERAPY LLC
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3495 TEAYS VALLEY RD B
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City | HURRICANE
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State | WV
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Zip | 25526
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Country | US
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Telephone | 304-760-9664
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Fax |
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Provider Business Mailing Address
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Address Line | 3495 TEAYS VALLEY RD B
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City | HURRICANE
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State | WV
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Zip | 25526
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Country | US
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Telephone | 304-760-9664
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FAITH ASHTON FARLEY
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Credential | PT, DPT
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Telephone | 304-760-9664
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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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