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NPI 1386170959

NPI 1386170959 : IN MOTION PHYSICAL THERAPY LLC : ROCK SPRINGS, WY

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General NPI Number Information
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    NPI Number           |    1386170959
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    Entity Type          |    Organization 
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    Legal Business Name  |    IN MOTION PHYSICAL THERAPY LLC 
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Dates
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    Enumeration Date     |    05/02/2017
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    Last Update Date     |    02/03/2026
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Provider Practice Location Address
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    Address Line         |    501 CENTER ST 
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    City                 |    ROCK SPRINGS
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    State                |    WY
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    Zip                  |    82901-5105
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    Country              |    US
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    Telephone            |    307-382-8661
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    Fax                  |    307-382-8662
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Provider Business Mailing Address
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    Address Line         |    501 CENTER ST 
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    City                 |    ROCK SPRINGS
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    State                |    WY
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    Zip                  |    82901-5105
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    Country              |    US
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    Telephone            |    307-389-8661
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    Fax                  |    307-382-8662
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ASHLEE CHRISTINE LANSANG 
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    Credential           |    PT, DPT, FDNS
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    Telephone            |    307-389-8661
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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       |    1494
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    License Number State |    WY
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