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General NPI Number Information
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NPI Number | 1467333450
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Entity Type | Organization
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Legal Business Name | ROOTED PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 10245 MEADOW GLEN DR
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City | INDEPENDENCE
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State | KY
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Zip | 41051-7841
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Country | US
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Telephone | 859-363-6445
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Fax |
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Provider Business Mailing Address
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Address Line | 10245 MEADOW GLEN DR
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City | INDEPENDENCE
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State | KY
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Zip | 41051-7841
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Country | US
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Telephone | 859-363-6445
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH WESSELMAN
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Credential | DPT
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Telephone | 859-512-3536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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