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NPI 1538016365

NPI 1538016365 : KIRSTEN JANE FAESSLER MPT : NORTH PLATTE, NE

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General NPI Number Information
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    NPI Number           |    1538016365
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    Entity Type          |    Individual 
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    Provider Name        |    KIRSTEN JANE FAESSLER MPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/11/2026
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    Last Update Date     |    03/11/2026
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Provider Practice Location Address
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    Address Line         |    319 E FRANCIS ST OFC 100 
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    City                 |    NORTH PLATTE
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    State                |    NE
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    Zip                  |    69101-7631
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    Country              |    US
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    Telephone            |    308-534-5590
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    Fax                  |    308-534-5570
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Provider Business Mailing Address
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    Address Line         |    624 W LEOTA ST 
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    City                 |    NORTH PLATTE
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    State                |    NE
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    Zip                  |    69101-6532
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    Country              |    US
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    Telephone            |    308-534-5590
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    Fax                  |    308-534-5570
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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       |    1483
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    License Number State |    NE
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