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General NPI Number Information
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NPI Number | 1467395178
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Entity Type | Organization
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Legal Business Name | SALT & MOTION COLLECTIVE LLC
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 2407 HARRIS AVE
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City | KEY WEST
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State | FL
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Zip | 33040-3850
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Country | US
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Telephone | 305-587-1702
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Fax |
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Provider Business Mailing Address
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Address Line | 2407 HARRIS AVE
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City | KEY WEST
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State | FL
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Zip | 33040-3850
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Country | US
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Telephone | 305-587-1702
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Fax |
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Authorized Official
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Title or Position | OWNER/LEAD PT
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Name | DR. MADISON DISSON
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Credential | PT, DPT, OCS
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Telephone | 305-587-1702
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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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