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General NPI Number Information
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NPI Number | 1467037804
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Entity Type | Organization
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Legal Business Name | ELEVATE THERAPY LLC
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 630 SOUTHPOINTE CT STE 105
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3800
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Country | US
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Telephone | 719-375-5314
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Fax | 719-418-2833
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Provider Business Mailing Address
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Address Line | 630 SOUTHPOINTE CT STE 105
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3800
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Country | US
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Telephone | 719-375-5314
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Fax | 719-418-2833
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Authorized Official
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Title or Position | DIRECTOR OF PHYSICAL THERAPY
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Name | MS. KARLI SU RIKLI
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Credential | MSPT
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Telephone | 719-375-5314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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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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