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NPI 1396636858

NPI 1396636858 : MOVEMENT HEALTH CONSULTANTS PERFORMANCE THERAPY : GAHANNA, OH

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General NPI Number Information
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    NPI Number           |    1396636858
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    Entity Type          |    Organization 
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    Legal Business Name  |    MOVEMENT HEALTH CONSULTANTS PERFORMANCE THERAPY 
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Dates
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    Enumeration Date     |    07/14/2025
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    Last Update Date     |    07/14/2025
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Provider Practice Location Address
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    Address Line         |    358 S HAMILTON RD STE A 
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    City                 |    GAHANNA
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    State                |    OH
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    Zip                  |    43230-3311
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    Country              |    US
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    Telephone            |    614-981-9517
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6498 TONBRIDGE ST 
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    City                 |    WORTHINGTON
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    State                |    OH
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    Zip                  |    43085-3045
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KEVIN  BROWN 
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    Credential           |    DPT
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    Telephone            |    614-981-9517
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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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