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General NPI Number Information
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NPI Number | 1477903938
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Entity Type | Individual
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Provider Name | KADIE PATRICIA KRESS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 4718 CYPRESS MILL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78247
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Country | US
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Telephone | 210-685-0630
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Fax |
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Provider Business Mailing Address
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Address Line | 4718 CYPRESS MILL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78247-5515
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Country | US
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Telephone | 210-685-0630
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 61494
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License Number State | OR
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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 | 1820
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1261308
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL.0013788
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License Number State | CO
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