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General NPI Number Information
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NPI Number | 1518070366
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Entity Type | Organization
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Legal Business Name | TOTAL ENHANCEMENT THERAPY INC.
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3701A OLSEN BLVD # 1
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City | AMARILLO
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State | TX
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Zip | 79109-3021
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Country | US
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Telephone | 806-467-8181
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Fax | 806-467-8282
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Provider Business Mailing Address
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Address Line | 3701 -A -1 OLSEN BLVD
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City | AMARILLO
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State | TX
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Zip | 79109
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Country | US
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Telephone | 806-467-8181
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Fax | 806-467-8282
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. THOMAS H WEABER
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Credential | PT
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Telephone | 806-467-8181
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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 |
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License Number State | TX
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