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General NPI Number Information
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NPI Number | 1467180174
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Entity Type | Organization
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Legal Business Name | ELITE THERAPY SERVICES
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 160 DRY VALLEY RD
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City | COOKEVILLE
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State | TN
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Zip | 38506-5411
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Country | US
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Telephone | 931-261-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 160 DRY VALLEY RD
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City | COOKEVILLE
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State | TN
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Zip | 38506-5411
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Country | US
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Telephone | 931-261-5300
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Fax |
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Authorized Official
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Title or Position | PT/OWNER
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Name | SONYA BRIGGS
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Credential | PT
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Telephone | 931-261-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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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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