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General NPI Number Information
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NPI Number | 1417866153
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Entity Type | Organization
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Legal Business Name | VERSA WELLNESS, LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 1702 E ARLINGTON BLVD STE B
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City | GREENVILLE
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State | NC
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Zip | 27858-7843
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Country | US
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Telephone | 252-295-8649
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6
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City | SIMPSON
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State | NC
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Zip | 27879-0006
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Country | US
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Telephone | 252-295-8649
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA JARVIS
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Credential | PT, DPT
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Telephone | 252-295-8649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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