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General NPI Number Information
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NPI Number | 1528962529
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Entity Type | Organization
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Legal Business Name | MOTIV PHYSICAL THERAPY AND PERFORMANCE PLLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 2101 CHESTNUT ST STE 113
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City | CHATTANOOGA
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State | TN
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Zip | 37408-2404
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Country | US
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Telephone | 423-668-0406
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Fax | 423-668-0406
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Provider Business Mailing Address
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Address Line | 2101 CHESTNUT ST STE 113
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City | CHATTANOOGA
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State | TN
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Zip | 37408-2404
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Country | US
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Telephone | 423-668-0406
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Fax | 423-668-0406
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM STORM WILSON
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Credential | PT
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Telephone | 423-668-0406
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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 | NULL
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