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General NPI Number Information
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NPI Number | 1356299622
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Entity Type | Organization
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Legal Business Name | CORRECTIVE BODYWORKS, LLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 17257 HIGHWAY 49 S
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City | NOTASULGA
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State | AL
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Zip | 36866-4005
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Country | US
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Telephone | 334-319-1684
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Fax |
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Provider Business Mailing Address
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Address Line | 2354 MACEDONIA RD
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City | TALLASSEE
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State | AL
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Zip | 36078-4829
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Country | US
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Telephone | 334-319-1684
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY NEAL COTTEN
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Credential | PTA, ATC, LMT, CIDN
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Telephone | 334-319-1684
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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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