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General NPI Number Information
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NPI Number | 1366716847
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Entity Type | Organization
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Legal Business Name | PRECISION PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 4020 TAYLORSVILLE RD SUITE 7
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City | LOUISVILLE
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State | KY
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Zip | 40220-1569
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Country | US
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Telephone | 502-479-2552
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Fax | 502-479-2539
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Provider Business Mailing Address
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Address Line | 4020 TAYLORSVILLE RD SUITE 7
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City | LOUISVILLE
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State | KY
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Zip | 40220-1569
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Country | US
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Telephone | 502-479-2552
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Fax | 502-479-2539
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MRS. LAUREN K MATTINGLY
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Credential | PT
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Telephone | 502-741-0927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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