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NPI 1497365100

NPI 1497365100 : STRIVE THERAPY AND WELLNESS CENTER : ASHLAND, MS

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General NPI Number Information
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    NPI Number           |    1497365100
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRIVE THERAPY AND WELLNESS CENTER 
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Dates
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    Enumeration Date     |    08/06/2020
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    Last Update Date     |    02/09/2026
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Provider Practice Location Address
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    Address Line         |    16068 BOUNDARY DR STE 1 
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    City                 |    ASHLAND
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    State                |    MS
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    Zip                  |    38603-7737
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    Country              |    US
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    Telephone            |    662-224-2030
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    Fax                  |    662-224-2031
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Provider Business Mailing Address
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    Address Line         |    PO BOX 132 
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    City                 |    ASHLAND
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    State                |    MS
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    Zip                  |    38603-0132
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    Country              |    US
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    Telephone            |    662-224-2030
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    Fax                  |    662-224-2031
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SANDRICKA  BOWEN 
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    Credential           |    
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    Telephone            |    662-224-2030
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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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