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General NPI Number Information
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NPI Number | 1376488056
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Entity Type | Individual
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Provider Name | TY HADLEY
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Gender | Male
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 2803 NE LOOP 410 # 106
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1569
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Country | US
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Telephone | 210-436-8520
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Fax | 210-436-8530
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Provider Business Mailing Address
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Address Line | 1650 LYNDON FARM CT STE 300
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City | LOUISVILLE
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State | KY
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Zip | 40223-5005
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Country | US
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Telephone | 726-202-3039
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Fax | 210-978-5592
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1405776
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License Number State | TN
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