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General NPI Number Information
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NPI Number | 1386592053
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Entity Type | Organization
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Legal Business Name | STRYDE PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 2851 MICHIGAN ST NE STE 104
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City | GRAND RAPIDS
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State | MI
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Zip | 49506-1215
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Country | US
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Telephone | 616-610-2113
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Fax |
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Provider Business Mailing Address
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Address Line | 650 OTTILLIA ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49507-3240
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Country | US
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Telephone | 616-610-2113
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | THOMAS ALEXANDER BOSCH
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Credential | DPT
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Telephone | 616-610-2113
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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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