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General NPI Number Information
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NPI Number | 1558560813
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Entity Type | Individual
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Provider Name | KACIE MARIE ELLIOTT PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 600 WILSON CREEK RD
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City | LAWRENCEBURG
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State | IN
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Zip | 47025-2751
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Country | US
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Telephone | 812-496-8790
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Fax |
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Provider Business Mailing Address
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Address Line | 1949 TRESSLE CT
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City | FT MITCHELL
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State | KY
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Zip | 41011-7600
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Country | US
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Telephone | 513-635-2449
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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 | 009040
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License Number State | KY
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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 | PT014483
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License Number State | OH
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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 | 05009284A
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License Number State | IN
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